06D2296149 CLIA NUMBER - PRIME OMNICARE, LLC

Laboratory Demographics

  • CLIA Code: 06D2296149
  • Facility Name: PRIME OMNICARE, LLC
  • Facility Address: 1013 S FEDERALBLVD
    DENVER, CO
    ZIP 80219
  • Facility Phone: 720 270-0909
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: BAO T. HO
  • NPI Number: 1831971308
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 06D2296149
LAB Type Practitioner Other
Facility Name PRIME OMNICARE, LLC
Street 1013 S FEDERALBLVD
City DENVER
State CO
ZIP 80219
Phone 720 270-0909
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2023
Certificate Expiration Date 12/20/2025
Facility Type Practitioner Other
Lab Director BAO T. HO

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