06D1094719 CLIA NUMBER - COLORADO URGENT CARE, PLLC DBA - NEXTCARE URGENT CARE - MAIN

Laboratory Demographics

CLIA Number: 06D1094719

Facility Name: COLORADO URGENT CARE, PLLC DBA - NEXTCARE URGENT CARE - MAIN

Facility Address:
2144 MAIN ST, SUITE 8
LONGMONT, CO
ZIP 80501
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Facility Phone Number: 303 772-0041

Facility Type: Other - URGENT CARE

Certificate Type: Waiver

NPI Number: 1851909287

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 06D1094719
LAB Type Other - URGENT CARE
Facility Name COLORADO URGENT CARE, PLLC DBA - NEXTCARE URGENT CARE - MAIN
Street 2144 MAIN ST, SUITE 8
City LONGMONT
State CO
ZIP 80501
Phone 303 772-0041
CertificateType 4
CertificateEffectiveDate 7/1/2022
CertificateExpirationDate 6/30/2024
FacilityType Waiver

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