06D1027647 CLIA NUMBER - PUEBLO ENDOSCOPY SUITES, LLC

Laboratory Demographics

  • CLIA Code: 06D1027647
  • Facility Name: PUEBLO ENDOSCOPY SUITES, LLC
  • Facility Address: 1600 N GRAND AVE, STE 420
    PUEBLO, CO
    ZIP 81003
  • Facility Phone: 719 543-3500
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: CHARLES RUZKOWSKI
  • NPI Number: 1437175627
  • Taxonomy: 261QE0800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 06D1027647
LAB Type Ambulatory Surgery Center
Facility Name PUEBLO ENDOSCOPY SUITES, LLC
Street 1600 N GRAND AVE, STE 420
City PUEBLO
State CO
ZIP 81003
Phone 719 543-3500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2024
Certificate Expiration Date 7/5/2026
Facility Type Ambulatory Surgery Center
Lab Director CHARLES RUZKOWSKI

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