06D2271609 CLIA NUMBER - FOOTHILLS COMMUNITY MIDWIVES

Laboratory Demographics

  • CLIA Code: 06D2271609
  • Facility Name: FOOTHILLS COMMUNITY MIDWIVES
  • Facility Address: 4840 RIVERBEND RD, SUITE 100
    BOULDER, CO
    ZIP 80301
  • Facility Phone: 303 415-4045
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. KEVIN HANLEY
  • NPI Number: 1790332187
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 06D2271609
LAB Type Physician Office
Facility Name FOOTHILLS COMMUNITY MIDWIVES
Street 4840 RIVERBEND RD, SUITE 100
City BOULDER
State CO
ZIP 80301
Phone 303 415-4045
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 11/4/2024
Certificate Expiration Date 11/3/2026
Facility Type Physician Office
Lab Director DR. KEVIN HANLEY

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This page was last updated on: 3/20/2025