06D2039190 CLIA NUMBER - VAIL VALLEY SURGERY CENTER - EDWARDS

Laboratory Demographics

  • CLIA Code: 06D2039190
  • Facility Name: VAIL VALLEY SURGERY CENTER - EDWARDS
  • Facility Address: 320 BEARD CREEK RD STE 100
    EDWARDS, CO
    ZIP 81632
  • Facility Phone: 970 569-7400
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MANDY L. WILLIAMS
  • NPI Number: 1942711494
  • Taxonomy: 261QH0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 06D2039190
LAB Type Ambulatory Surgery Center
Facility Name VAIL VALLEY SURGERY CENTER - EDWARDS
Street 320 BEARD CREEK RD STE 100
City EDWARDS
State CO
ZIP 81632
Phone 970 569-7400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2024
Certificate Expiration Date 4/2/2026
Facility Type Ambulatory Surgery Center
Lab Director MANDY L. WILLIAMS

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This page was last updated on: 9/29/2025