CLIA lab

CLIA 06D2197453: Boulder Plastic Surgery, PLLC

Boulder, CO. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 06D2197453 belongs to Boulder Plastic Surgery, PLLC in Boulder, CO.

Certificate of Waiver, effective October 26, 2024, expires October 25, 2026.

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
October 26, 2024
Certificate expiration
October 25, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
October 26, 2020
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
06D2197453
Lab name
Boulder Plastic Surgery, PLLC
Address
2525 4th Street, Suite 200, Boulder, CO 80304
Phone
(303) 443-2277
Fax
(303) 443-7124

Annual test volume the lab reported

Waived tests
200

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Questions

What is the CLIA number for Boulder Plastic Surgery, PLLC in Boulder?

06D2197453, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Boulder Plastic Surgery, PLLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 06D2197453 expire?

The CMS file lists October 25, 2026 as the certificate expiration date; the certificate took effect October 26, 2024.

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