06D2234624 CLIA NUMBER - MEDIZINE MAN INC

Laboratory Demographics

  • CLIA Code: 06D2234624
  • Facility Name: MEDIZINE MAN INC
  • Facility Address: 1610 PRAIRIE CENTER PKWY STE 2110
    BRIGHTON, CO
    ZIP 80601
  • Facility Phone: 303 483-7455
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THOMAS P. GIERWATOSKI
  • NPI Number: 1215519889
  • Taxonomy: 3336S0011X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2234624
LAB Type Pharmacy
Facility Name MEDIZINE MAN INC
Street 1610 PRAIRIE CENTER PKWY STE 2110
City BRIGHTON
State CO
ZIP 80601
Phone 303 483-7455
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2025
Certificate Expiration Date 8/31/2027
Facility Type Pharmacy
Lab Director THOMAS P. GIERWATOSKI

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