06D1033654 CLIA NUMBER - BELMAR AMBULATORY SURGICAL CENTER, LLC

Laboratory Demographics

CLIA Number: 06D1033654

Facility Name: BELMAR AMBULATORY SURGICAL CENTER, LLC

Facility Address:
325 SOUTH TELLER ST, SUITE 200
LAKEWOOD, CO
ZIP 80226
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Facility Phone Number: 303 934-7000

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1912053570

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	06D1033654
LAB Type	Ambulatory Surgery Center
Facility Name	BELMAR AMBULATORY SURGICAL CENTER, LLC
Street	325 SOUTH TELLER ST, SUITE 200
City	LAKEWOOD
State	CO
ZIP	80226
Phone	303 934-7000
CertificateType	4
CertificateEffectiveDate	11/15/2022
CertificateExpirationDate	11/14/2024
FacilityType	Waiver

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