06D2022830 CLIA NUMBER - SUSTAINA CENTER FOR WOMEN

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Laboratory Demographics

CLIA Number: 06D2022830

Facility Name: SUSTAINA CENTER FOR WOMEN

Facility Address:
12600 W COLFAX AVE SUITE A110
LAKEWOOD, CO
ZIP 80215
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Facility Phone Number: 303 386-4434

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1861762676

Taxonomy: 207VG0400X - Obstetrics & Gynecology
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	06D2022830
LAB Type	Physician Office
Facility Name	SUSTAINA CENTER FOR WOMEN
Street	12600 W COLFAX AVE SUITE A110
City	LAKEWOOD
State	CO
ZIP	80215
Phone	303 386-4434
CertificateType	3
CertificateEffectiveDate	4/11/2023
CertificateExpirationDate	4/10/2025
FacilityType	PPMP

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