06D2241548 CLIA NUMBER - TABLE MOUNTAIN FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 06D2241548
  • Facility Name: TABLE MOUNTAIN FAMILY MEDICINE
  • Facility Address: 110 NORTH RUBEY DR, SUITE 200
    GOLDEN, CO
    ZIP 80403
  • Facility Phone: 303 376-0975
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RACHEL W. HILLS
  • NPI Number: 1336808492
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 06D2241548
LAB Type Physician Office
Facility Name TABLE MOUNTAIN FAMILY MEDICINE
Street 110 NORTH RUBEY DR, SUITE 200
City GOLDEN
State CO
ZIP 80403
Phone 303 376-0975
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/29/2023
Certificate Expiration Date 10/28/2025
Facility Type Physician Office
Lab Director DR. RACHEL W. HILLS

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