06D0989630 CLIA NUMBER - MADISON STREET SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 06D0989630
  • Facility Name: MADISON STREET SURGERY CENTER
  • Facility Address: 55 MADISON STREET STE 200
    DENVER, CO
    ZIP 80206
  • Facility Phone: (303) 388-0599
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: VALERIE THIELE
  • NPI Number: 1326132291
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 06D0989630
LAB Type Ambulatory Surgery Center
Facility Name MADISON STREET SURGERY CENTER
Street 55 MADISON STREET STE 200
City DENVER
State CO
ZIP 80206
Phone 3033880599
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2025
Certificate Expiration Date 7/31/2027
Facility Type Ambulatory Surgery Center
Lab Director VALERIE THIELE

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