06D2053998 CLIA NUMBER - FOOTHILLS SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 06D2053998
  • Facility Name: FOOTHILLS SURGERY CENTER, LLC
  • Facility Address: 4743 ARAPAHOE AVE, SUITE 101
    BOULDER, CO
    ZIP 80303
  • Facility Phone: 720 441-5757
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MELISSA A. NEELY
  • NPI Number: 1104189042
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 06D2053998
LAB Type Ambulatory Surgery Center
Facility Name FOOTHILLS SURGERY CENTER, LLC
Street 4743 ARAPAHOE AVE, SUITE 101
City BOULDER
State CO
ZIP 80303
Phone 720 441-5757
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2025
Certificate Expiration Date 2/11/2027
Facility Type Ambulatory Surgery Center
Lab Director MELISSA A. NEELY

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