06D2284295 CLIA NUMBER - INGERLISA MATTOCH MD INC DBA TIAGA PATHOLOGY

Laboratory Demographics

  • CLIA Code: 06D2284295
  • Facility Name: INGERLISA MATTOCH MD INC DBA TIAGA PATHOLOGY
  • Facility Address: 1708 N BOISE AVE
    LOVELAND, CO
    ZIP 80538
  • Facility Phone: 970 818-6788
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. INGERLISA W. MATTOCH
  • NPI Number: 1306034582
  • Taxonomy: 207ZD0900X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 06D2284295
LAB Type Independent
Facility Name INGERLISA MATTOCH MD INC DBA TIAGA PATHOLOGY
Street 1708 N BOISE AVE
City LOVELAND
State CO
ZIP 80538
Phone 970 818-6788
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 6/21/2023
Certificate Expiration Date 6/20/2025
Facility Type Independent
Lab Director DR. INGERLISA W. MATTOCH

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