06D2313396 CLIA NUMBER - PEAK FORM MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 06D2313396
  • Facility Name: PEAK FORM MEDICAL CENTER
  • Facility Address: 8225 WEST 20TH ST
    GREELEY, CO
    ZIP 80634
  • Facility Phone: 720 716-4518
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: JEANETTE HRUBES
  • NPI Number: 1851113385
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 06D2313396
LAB Type Ancillary Testing Site in Health Care Center
Facility Name PEAK FORM MEDICAL CENTER
Street 8225 WEST 20TH ST
City GREELEY
State CO
ZIP 80634
Phone 720 716-4518
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2024
Certificate Expiration Date 10/29/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director JEANETTE HRUBES

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