06D1105969 CLIA NUMBER - ANSCHUTZ HEALTH AND WELLNESS CLINIC

Laboratory Demographics

CLIA Number: 06D1105969

Facility Name: ANSCHUTZ HEALTH AND WELLNESS CLINIC

Facility Address:
12348 EAST MONTVIEW BLVD, C271
AURORA, CO
ZIP 80045
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Facility Phone Number: 303 724-9104

Facility Type: Other - RESEARCH LAB CU DENVER

Certificate Type: Microscopy

NPI Number: 1316445133

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	06D1105969
LAB Type	Other - RESEARCH LAB CU DENVER
Facility Name	ANSCHUTZ HEALTH AND WELLNESS CLINIC
Street	12348 EAST MONTVIEW BLVD, C271
City	AURORA
State	CO
ZIP	80045
Phone	303 724-9104
CertificateType	3
CertificateEffectiveDate	10/1/2023
CertificateExpirationDate	9/30/2025
FacilityType	PPMP

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