06D2308200 CLIA NUMBER - ALTITUDE DERMATOLOGY, PC

Laboratory Demographics

  • CLIA Code: 06D2308200
  • Facility Name: ALTITUDE DERMATOLOGY, PC
  • Facility Address: 4795 LARIMER PARKWAY SUITE 150
    JOHNSTOWN, CO
    ZIP 80534
  • Facility Phone: 970 342-2222
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. BRAD R. BAACK
  • NPI Number: 1821856303
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 06D2308200
LAB Type Physician Office
Facility Name ALTITUDE DERMATOLOGY, PC
Street 4795 LARIMER PARKWAY SUITE 150
City JOHNSTOWN
State CO
ZIP 80534
Phone 970 342-2222
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 7/23/2024
Certificate Expiration Date 7/22/2026
Facility Type Physician Office
Lab Director DR. BRAD R. BAACK

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