06D2289869 CLIA NUMBER - MOUNTAIN PEAK PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 06D2289869
  • Facility Name: MOUNTAIN PEAK PRIMARY CARE
  • Facility Address: 9450 E MISSISSIPPI AVE, UNIT B
    DENVER, CO
    ZIP 80247
  • Facility Phone: 720 710-4933
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: HADEE AHMADI
  • NPI Number: 1447935101
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 06D2289869
LAB Type Practitioner Other
Facility Name MOUNTAIN PEAK PRIMARY CARE
Street 9450 E MISSISSIPPI AVE, UNIT B
City DENVER
State CO
ZIP 80247
Phone 720 710-4933
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2025
Certificate Expiration Date 9/17/2027
Facility Type Practitioner Other
Lab Director HADEE AHMADI

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