06D1009818 CLIA NUMBER - SURGERY CENTER OF LOVELAND, LLC

Laboratory Demographics

CLIA Number: 06D1009818

Facility Name: SURGERY CENTER OF LOVELAND, LLC

Facility Address:
3800 N GRANT
LOVELAND, CO
ZIP 80538
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Facility Phone Number: 970 622-0608

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1063595221

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	06D1009818
LAB Type	Ambulatory Surgery Center
Facility Name	SURGERY CENTER OF LOVELAND, LLC
Street	3800 N GRANT
City	LOVELAND
State	CO
ZIP	80538
Phone	970 622-0608
CertificateType	4
CertificateEffectiveDate	2/26/2023
CertificateExpirationDate	2/25/2025
FacilityType	Waiver

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