06D0980661 CLIA NUMBER - ENDOSCOPY CENTER OF THE ROCKIES - LAFAYETTE

Laboratory Demographics

CLIA Number: 06D0980661

Facility Name: ENDOSCOPY CENTER OF THE ROCKIES - LAFAYETTE

Facility Address:
1000 W SOUTH BOULDER RD #202
LAFAYETTE, CO
ZIP 80026
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Facility Phone Number: 303 604-5000

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1811148869

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 06D0980661
LAB Type Ambulatory Surgery Center
Facility Name ENDOSCOPY CENTER OF THE ROCKIES - LAFAYETTE
Street 1000 W SOUTH BOULDER RD #202
City LAFAYETTE
State CO
ZIP 80026
Phone 303 604-5000
CertificateType 4
CertificateEffectiveDate 6/3/2023
CertificateExpirationDate 6/2/2025
FacilityType Waiver

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