CLIA lab
CLIA 06D2135358: Peak Form Medical Clinic
Boulder, CO. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 06D2135358 belongs to Peak Form Medical Clinic in Boulder, CO.
Certificate of Waiver, effective August 21, 2025, expires August 20, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- August 21, 2025
- Certificate expiration
- August 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 21, 2017
- Facility type
- Other
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 06D2135358
- Lab name
- Peak Form Medical Clinic
- Address
- 695 South Broadway, Suite A, Boulder, CO 80305
- Phone
- (303) 402-9283
- Fax
- (303) 494-1251
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Boulder, CO
- Academy University Hill, theCertificate of Waiver, Assisted living facility06D2231237
- Advanced Urology, PLLCCertificate for Provider-Performed Microscopy Procedures, Physician office06D0891384
- Alpine Clinical Research CenterCertificate of Waiver, Other06D0980472
- American Medical Response - Boulder OperationsCertificate of Waiver, Ambulance06D2054770
- Anchor Point Primary CareCertificate of Waiver, Physician office06D0670881
- Anticoagulation ClinicCertificate of Waiver, Other06D2125007
- Base Camp HealthCertificate of Waiver, Other practitioner06D2334411
- Beacon ClinicCertificate of Waiver, Physician office06D1026426
- Blue Horizon Wellness, PLLCCertificate of Accreditation, Physician office06D2308429
- Boulder Birth and Holistic Health, LLCCertificate for Provider-Performed Microscopy Procedures, Other06D2075994
Related
Questions
What is the CLIA number for Peak Form Medical Clinic in Boulder?
06D2135358, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Peak Form Medical Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 06D2135358 expire?
The CMS file lists August 20, 2027 as the certificate expiration date; the certificate took effect August 21, 2025.