06D1094611 CLIA NUMBER - ALLERGY AND ASTHMA CARE AND PREVENTION CENTER

Laboratory Demographics

CLIA Number: 06D1094611

Facility Name: ALLERGY AND ASTHMA CARE AND PREVENTION CENTER

Facility Address:
10099 RIDGE GATE PARKWAY, SUITE 400
LONE TREE, CO
ZIP 80124
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Facility Phone Number: 303 706-9923

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1194861641

Taxonomy: 207KA0200X - Allergy & Immunology
A physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	06D1094611
LAB Type	Physician Office
Facility Name	ALLERGY AND ASTHMA CARE AND PREVENTION CENTER
Street	10099 RIDGE GATE PARKWAY, SUITE 400
City	LONE TREE
State	CO
ZIP	80124
Phone	303 706-9923
CertificateType	4
CertificateEffectiveDate	1/22/2023
CertificateExpirationDate	1/21/2025
FacilityType	Waiver

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