06D0515429 CLIA NUMBER - CONIFER MEDICAL CENTER

Laboratory Demographics

CLIA Number: 06D0515429

Facility Name: CONIFER MEDICAL CENTER

Facility Address:
26659 PLEASANT PARK ROAD
CONIFER, CO
ZIP 80433
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Facility Phone Number: 303 647-5280

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1831166412

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	06D0515429
LAB Type	Physician Office
Facility Name	CONIFER MEDICAL CENTER
Street	26659 PLEASANT PARK ROAD
City	CONIFER
State	CO
ZIP	80433
Phone	303 647-5280
CertificateType	4
CertificateEffectiveDate	3/6/2024
CertificateExpirationDate	3/5/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024