06D0707281 CLIA NUMBER - LAKEWOOD DIALYSIS CENTER

Laboratory Demographics

CLIA Number: 06D0707281

Facility Name: LAKEWOOD DIALYSIS CENTER

Facility Address:
1750 PIERCE ST, SUITE C
LAKEWOOD, CO
ZIP 80214
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Facility Phone Number: 303 238-6111

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1679940324

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	06D0707281
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	LAKEWOOD DIALYSIS CENTER
Street	1750 PIERCE ST, SUITE C
City	LAKEWOOD
State	CO
ZIP	80214
Phone	303 238-6111
CertificateType	4
CertificateEffectiveDate	8/27/2023
CertificateExpirationDate	8/26/2025
FacilityType	Waiver

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