Provider Demographics
NPI:1609388842
Name:CLARO SCIENTIFIC LABORATORIES CORP
Entity Type:Organization
Organization Name:CLARO SCIENTIFIC LABORATORIES CORP
Other - Org Name:CLAROLABS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LAYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:720-749-2815
Mailing Address - Street 1:1408 HORIZON AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-8500
Mailing Address - Country:US
Mailing Address - Phone:720-749-2815
Mailing Address - Fax:720-925-5708
Practice Address - Street 1:1408 HORIZON AVE STE 101
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026
Practice Address - Country:US
Practice Address - Phone:720-749-2815
Practice Address - Fax:720-925-5708
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-27
Last Update Date:2018-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory