06D0971560 CLIA NUMBER - GOLDEN RIDGE SURGERY CENTER

Laboratory Demographics

CLIA Number: 06D0971560

Facility Name: GOLDEN RIDGE SURGERY CENTER

Facility Address:
660 GOLDEN RIDGE RD, STE 110
GOLDEN, CO
ZIP 80401
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Facility Phone Number: 303 963-1507

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1033112628

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	06D0971560
LAB Type	Ambulatory Surgery Center
Facility Name	GOLDEN RIDGE SURGERY CENTER
Street	660 GOLDEN RIDGE RD, STE 110
City	GOLDEN
State	CO
ZIP	80401
Phone	303 963-1507
CertificateType	4
CertificateEffectiveDate	3/16/2024
CertificateExpirationDate	3/15/2026
FacilityType	Waiver

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