06D2320189 CLIA NUMBER - COLORADO ADVANCED ENDOVASCULAR, LLC

Laboratory Demographics

  • CLIA Code: 06D2320189
  • Facility Name: COLORADO ADVANCED ENDOVASCULAR, LLC
  • Facility Address: 355 UNION BLVD, SUITE 100
    LAKEWOOD, CO
    ZIP 80228
  • Facility Phone: 720 669-3036
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BLAZE J. COOK
  • NPI Number: 1629829098
  • Taxonomy: 2085R0204X - Radiology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 06D2320189
LAB Type Physician Office
Facility Name COLORADO ADVANCED ENDOVASCULAR, LLC
Street 355 UNION BLVD, SUITE 100
City LAKEWOOD
State CO
ZIP 80228
Phone 720 669-3036
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2025
Certificate Expiration Date 3/12/2027
Facility Type Physician Office
Lab Director BLAZE J. COOK

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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