06D2243658 CLIA NUMBER - CADELAS CLINIC - PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 06D2243658
  • Facility Name: CADELAS CLINIC - PRIMARY CARE
  • Facility Address: 15389 W 91ST DR STE 100
    ARVADA, CO
    ZIP 80007
  • Facility Phone: 303 603-9300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STACEY BOSER
  • NPI Number: 1043973902
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 06D2243658
LAB Type Physician Office
Facility Name CADELAS CLINIC - PRIMARY CARE
Street 15389 W 91ST DR STE 100
City ARVADA
State CO
ZIP 80007
Phone 303 603-9300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/22/2023
Certificate Expiration Date 11/21/2025
Facility Type Physician Office
Lab Director STACEY BOSER

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