06D1026653 CLIA NUMBER - VAIL VALLEY SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 06D1026653
  • Facility Name: VAIL VALLEY SURGERY CENTER, LLC
  • Facility Address: 181 W MEADOW DR
    VAIL, CO
    ZIP 81658
  • Facility Phone: 970 477-8872
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MANDY L. WILLIAMS
  • NPI Number: 1003944125
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 06D1026653
LAB Type Ambulatory Surgery Center
Facility Name VAIL VALLEY SURGERY CENTER, LLC
Street 181 W MEADOW DR
City VAIL
State CO
ZIP 81658
Phone 970 477-8872
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2024
Certificate Expiration Date 6/9/2026
Facility Type Ambulatory Surgery Center
Lab Director MANDY L. WILLIAMS

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This page was last updated on: 9/29/2025