06D2301728 CLIA NUMBER - BAEK PRIMARY CLINIC

Laboratory Demographics

  • CLIA Code: 06D2301728
  • Facility Name: BAEK PRIMARY CLINIC
  • Facility Address: 11275 E MISSISSIPPI AVE SUITE 1E8
    AURORA, CO
    ZIP 80012
  • Facility Phone: 720 270-4924
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUJIN BAEK
  • NPI Number: 1467214221
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 06D2301728
LAB Type Physician Office
Facility Name BAEK PRIMARY CLINIC
Street 11275 E MISSISSIPPI AVE SUITE 1E8
City AURORA
State CO
ZIP 80012
Phone 720 270-4924
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2024
Certificate Expiration Date 3/31/2026
Facility Type Physician Office
Lab Director SUJIN BAEK

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