06D2299699 CLIA NUMBER - ANTHEM PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 06D2299699
  • Facility Name: ANTHEM PRIMARY CARE
  • Facility Address: 16677 LOWELL BLVD, SUITE 100
    BROOMFIELD, CO
    ZIP 80023
  • Facility Phone: 720 624-6323
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TEJAS B. TRIPATHI
  • NPI Number: 1578332243
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 06D2299699
LAB Type Physician Office
Facility Name ANTHEM PRIMARY CARE
Street 16677 LOWELL BLVD, SUITE 100
City BROOMFIELD
State CO
ZIP 80023
Phone 720 624-6323
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2024
Certificate Expiration Date 2/25/2026
Facility Type Physician Office
Lab Director TEJAS B. TRIPATHI

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