06D2269379 CLIA NUMBER - CU MEDICINE NEPHROLOGY LONGMONT

Laboratory Demographics

  • CLIA Code: 06D2269379
  • Facility Name: CU MEDICINE NEPHROLOGY LONGMONT
  • Facility Address: 1551 PROFESSIONAL LANE, SUITE 200
    LONGMONT, CO
    ZIP 80501
  • Facility Phone: 303 544-3825
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. MARY VIERTHALER
  • NPI Number: 1942813613
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 06D2269379
LAB Type Physician Office
Facility Name CU MEDICINE NEPHROLOGY LONGMONT
Street 1551 PROFESSIONAL LANE, SUITE 200
City LONGMONT
State CO
ZIP 80501
Phone 303 544-3825
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 9/26/2024
Certificate Expiration Date 9/25/2026
Facility Type Physician Office
Lab Director DR. MARY VIERTHALER

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