06D2071057 CLIA NUMBER - CANYON VIEW SURGERY CENTER

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Laboratory Demographics

CLIA Number: 06D2071057

Facility Name: CANYON VIEW SURGERY CENTER

Facility Address:
2373 G RD, SUITE 180
GRAND JUNCTION, CO
ZIP 81505
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Facility Phone Number: 970 773-2350

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1689003766

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	06D2071057
LAB Type	Ambulatory Surgery Center
Facility Name	CANYON VIEW SURGERY CENTER
Street	2373 G RD, SUITE 180
City	GRAND JUNCTION
State	CO
ZIP	81505
Phone	970 773-2350
CertificateType	4
CertificateEffectiveDate	1/2/2024
CertificateExpirationDate	1/1/2026
FacilityType	Waiver

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