Organization
PCL LAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE MENGESHA (OWNER)
(303) 856-7177
Entity
Organization
Contact information
Practice address
85 S BRAGG ST STE 101, ALEXANDRIA, VA 22312-2799
(303) 856-7177
(303) 856-3924
Mailing address
85 S BRAGG ST STE 101, ALEXANDRIA, VA 22312-2799
(303) 856-7177
(303) 856-3924
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
57320250
—
CO
Enumeration date
04/25/2015
Last updated
03/11/2026
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