06D2239636 CLIA NUMBER - CONGRESS PARK CLINIC - PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 06D2239636
  • Facility Name: CONGRESS PARK CLINIC - PRIMARY CARE
  • Facility Address: 1400 JACKSON ST BUILDING T STE 550
    DENVER, CO
    ZIP 80206
  • Facility Phone: 303 812-3800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAY J. SHI
  • NPI Number: 1942972526
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 06D2239636
LAB Type Physician Office
Facility Name CONGRESS PARK CLINIC - PRIMARY CARE
Street 1400 JACKSON ST BUILDING T STE 550
City DENVER
State CO
ZIP 80206
Phone 303 812-3800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2023
Certificate Expiration Date 10/12/2025
Facility Type Physician Office
Lab Director JAY J. SHI

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