06D1085115 CLIA NUMBER - KIDNEY CENTER OF WESTMINSTER

Laboratory Demographics

CLIA Number: 06D1085115

Facility Name: KIDNEY CENTER OF WESTMINSTER

Facility Address:
8410 DECATUR ST
WESTMINSTER, CO
ZIP 80031
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Facility Phone Number: 303 430-6518

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1871774620

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	06D1085115
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	KIDNEY CENTER OF WESTMINSTER
Street	8410 DECATUR ST
City	WESTMINSTER
State	CO
ZIP	80031
Phone	303 430-6518
CertificateType	4
CertificateEffectiveDate	6/11/2022
CertificateExpirationDate	6/10/2024
FacilityType	Waiver

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