06D0519576 CLIA NUMBER - VALLEY VIEW HOSPITAL DBA - EAGLE VALLEY FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 06D0519576
  • Facility Name: VALLEY VIEW HOSPITAL DBA - EAGLE VALLEY FAMILY PRACTICE
  • Facility Address: 377 SYLVAN LAKE RD, SUITE 220
    EAGLE, CO
    ZIP 81631
  • Facility Phone: (970) 328-5602
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. ANGELA J. AMMON
  • NPI Number: 1033754841
  • Taxonomy: 207RP1001X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 06D0519576
LAB Type Physician Office
Facility Name VALLEY VIEW HOSPITAL DBA - EAGLE VALLEY FAMILY PRACTICE
Street 377 SYLVAN LAKE RD, SUITE 220
City EAGLE
State CO
ZIP 81631
Phone 9703285602
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DR. ANGELA J. AMMON

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This page was last updated on: 6/29/2026