06D2234262 CLIA NUMBER - PEAK FORM MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 06D2234262
  • Facility Name: PEAK FORM MEDICAL CENTER
  • Facility Address: 1260 E 1ST AVE
    BROOMFIELD, CO
    ZIP 80020
  • Facility Phone: 303 655-9005
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: JEANETTE HRUBES
  • NPI Number: 1982718003
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 06D2234262
LAB Type Ancillary Testing Site in Health Care Center
Facility Name PEAK FORM MEDICAL CENTER
Street 1260 E 1ST AVE
City BROOMFIELD
State CO
ZIP 80020
Phone 303 655-9005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/30/2025
Certificate Expiration Date 8/29/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director JEANETTE HRUBES

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This page was last updated on: 9/29/2025