06D2260150 CLIA NUMBER - EVERGREEN FAMILY MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 06D2260150
  • Facility Name: EVERGREEN FAMILY MEDICAL CENTER
  • Facility Address: 30940 STAGECOACH BLVD, SUITE E-270
    EVERGREEN, CO
    ZIP 80439
  • Facility Phone: 303 647-5280
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. ROGER J. MATTHEWS
  • NPI Number: 1225127327
  • Taxonomy: 174400000X - Specialist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 06D2260150
LAB Type Physician Office
Facility Name EVERGREEN FAMILY MEDICAL CENTER
Street 30940 STAGECOACH BLVD, SUITE E-270
City EVERGREEN
State CO
ZIP 80439
Phone 303 647-5280
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/10/2024
Certificate Expiration Date 1/9/2026
Facility Type Physician Office
Lab Director DR. ROGER J. MATTHEWS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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