06D2291061 CLIA NUMBER - MODERN UROLOGY PLLC

Laboratory Demographics

  • CLIA Code: 06D2291061
  • Facility Name: MODERN UROLOGY PLLC
  • Facility Address: 4943 HIGHWAY 52, SUITE 180
    DACONO, CO
    ZIP 80514
  • Facility Phone: (303) 558-4995
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CAROLYN FRONCZAK
  • NPI Number: 1235833963
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 06D2291061
LAB Type Physician Office
Facility Name MODERN UROLOGY PLLC
Street 4943 HIGHWAY 52, SUITE 180
City DACONO
State CO
ZIP 80514
Phone 3035584995
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2025
Certificate Expiration Date 10/3/2027
Facility Type Physician Office
Lab Director DR. CAROLYN FRONCZAK

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This page was last updated on: 5/18/2026