06D2064550 CLIA NUMBER - SURGERY AFFILIATES, LLC DBA - PINNACLE SURGERY CENTER

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Laboratory Demographics

CLIA Number: 06D2064550

Facility Name: SURGERY AFFILIATES, LLC DBA - PINNACLE SURGERY CENTER

Facility Address:
2770 NORT UNION BLVD, SUITE 180
COLORADO SPRINGS, CO
ZIP 80909
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Facility Phone Number: 719 418-4700

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1740629245

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	06D2064550
LAB Type	Ambulatory Surgery Center
Facility Name	SURGERY AFFILIATES, LLC DBA - PINNACLE SURGERY CENTER
Street	2770 NORT UNION BLVD, SUITE 180
City	COLORADO SPRINGS
State	CO
ZIP	80909
Phone	719 418-4700
CertificateType	4
CertificateEffectiveDate	8/21/2023
CertificateExpirationDate	8/20/2025
FacilityType	Waiver

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