06D2244639 CLIA NUMBER - CROSSROADS DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 06D2244639
  • Facility Name: CROSSROADS DERMATOLOGY
  • Facility Address: 2350 17TH AVE, SUITE 100
    LONGMONT, CO
    ZIP 80503
  • Facility Phone: 303 848-8334
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SARAH M. BAIR
  • NPI Number: 1558853846
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 06D2244639
LAB Type Physician Office
Facility Name CROSSROADS DERMATOLOGY
Street 2350 17TH AVE, SUITE 100
City LONGMONT
State CO
ZIP 80503
Phone 303 848-8334
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2023
Certificate Expiration Date 12/2/2025
Facility Type Physician Office
Lab Director DR. SARAH M. BAIR

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