06D1085117 CLIA NUMBER - KIDNEY CENTER OF LAKEWOOD

Laboratory Demographics

CLIA Number: 06D1085117

Facility Name: KIDNEY CENTER OF LAKEWOOD

Facility Address:
6166 W ALAMEDA AVE
LAKEWOOD, CO
ZIP 80226
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Facility Phone Number: 303 922-6371

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1831388107

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	06D1085117
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	KIDNEY CENTER OF LAKEWOOD
Street	6166 W ALAMEDA AVE
City	LAKEWOOD
State	CO
ZIP	80226
Phone	303 922-6371
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