06D2032382 CLIA NUMBER - DURANGO NEPHROLOGY ASSOCIATES FOUR CORNERS INFECTIOUS DISEASE

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Laboratory Demographics

CLIA Number: 06D2032382

Facility Name: DURANGO NEPHROLOGY ASSOCIATES FOUR CORNERS INFECTIOUS DISEASE

Facility Address:
1010 THREE SPRINGS BLVD, STE 255
DURANGO, CO
ZIP 81301
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Facility Phone Number: 970 764-3825

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1972112431

Taxonomy: 207RN0300X - Internal Medicine
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

CLIA Record

Field Name	Field Value
CLIA Number	06D2032382
LAB Type	Physician Office
Facility Name	DURANGO NEPHROLOGY ASSOCIATES FOUR CORNERS INFECTIOUS DISEASE
Street	1010 THREE SPRINGS BLVD, STE 255
City	DURANGO
State	CO
ZIP	81301
Phone	970 764-3825
CertificateType	3
CertificateEffectiveDate	11/8/2023
CertificateExpirationDate	11/7/2025
FacilityType	PPMP

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