06D2295603 CLIA NUMBER - ORIGIN HEALTHCARE, PC

Laboratory Demographics

  • CLIA Code: 06D2295603
  • Facility Name: ORIGIN HEALTHCARE, PC
  • Facility Address: 8010 COUNTY ROAD 5 UNIT 205
    WINDSOR, CO
    ZIP 80528
  • Facility Phone: 888 777-2718
  • Facility Type: Other - MOBILE PROVIDER
  • Facility Type: Waiver
  • Lab Director: CHRISTINE M. LUM LUNG
  • NPI Number: 1982206173
  • Taxonomy: 208M00000X - Hospitalist

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CLIA Record

Field Name Field Value
CLIA Number 06D2295603
LAB Type Other - MOBILE PROVIDER
Facility Name ORIGIN HEALTHCARE, PC
Street 8010 COUNTY ROAD 5 UNIT 205
City WINDSOR
State CO
ZIP 80528
Phone 888 777-2718
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2023
Certificate Expiration Date 12/12/2025
Facility Type Other - MOBILE PROVIDER
Lab Director CHRISTINE M. LUM LUNG

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