06D0998815 CLIA NUMBER - MILE HIGH HOME DIALYSIS

Laboratory Demographics

CLIA Number: 06D0998815

Facility Name: MILE HIGH HOME DIALYSIS

Facility Address:
1750 PIERCE ST, SUITE A
LAKEWOOD, CO
ZIP 80214
Get Directions

Facility Phone Number: 303 232-0939

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1164890604

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	06D0998815
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	MILE HIGH HOME DIALYSIS
Street	1750 PIERCE ST, SUITE A
City	LAKEWOOD
State	CO
ZIP	80214
Phone	303 232-0939
CertificateType	4
CertificateEffectiveDate	4/25/2024
CertificateExpirationDate	4/24/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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