06D2306709 CLIA NUMBER - EAST CROSSROADS CLINIC - PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 06D2306709
  • Facility Name: EAST CROSSROADS CLINIC - PRIMARY CARE
  • Facility Address: 23750 E 14TH AVE, SUITE 250
    AURORA, CO
    ZIP 80018
  • Facility Phone: 303 812-5200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RACHEL DECOSTA
  • NPI Number: 1962270371
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 06D2306709
LAB Type Physician Office
Facility Name EAST CROSSROADS CLINIC - PRIMARY CARE
Street 23750 E 14TH AVE, SUITE 250
City AURORA
State CO
ZIP 80018
Phone 303 812-5200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Physician Office
Lab Director RACHEL DECOSTA

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