06D2305103 CLIA NUMBER - COLORADO PLASTIC AND RECONSTRUCTIVE SURGERY PLLC

Laboratory Demographics

  • CLIA Code: 06D2305103
  • Facility Name: COLORADO PLASTIC AND RECONSTRUCTIVE SURGERY PLLC
  • Facility Address: 10535 PARK MEADOWS BLVD, SUITE 350
    LONE TREE, CO
    ZIP 80124
  • Facility Phone: 720 853-5791
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RYAN ENDRESS
  • NPI Number: 1518639616
  • Taxonomy: 208200000X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 06D2305103
LAB Type Physician Office
Facility Name COLORADO PLASTIC AND RECONSTRUCTIVE SURGERY PLLC
Street 10535 PARK MEADOWS BLVD, SUITE 350
City LONE TREE
State CO
ZIP 80124
Phone 720 853-5791
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2024
Certificate Expiration Date 5/23/2026
Facility Type Physician Office
Lab Director RYAN ENDRESS

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