06D2077629 CLIA NUMBER - POUDRE VALLEY HOSPITAL CANCER CENTER LABORATORY

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Laboratory Demographics

CLIA Number: 06D2077629

Facility Name: POUDRE VALLEY HOSPITAL CANCER CENTER LABORATORY

Facility Address:
2121 E HARMONY RD, STE 170 CANCER CENTER
FORT COLLINS, CO
ZIP 80528
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Facility Phone Number: 970 237-7713

Facility Type: Other - CANCER CENTER

Certificate Type: Accreditation

NPI Number: 1689287807

Taxonomy: 207RP1001X - Internal Medicine
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

CLIA Record

Field Name	Field Value
CLIA Number	06D2077629
LAB Type	Other - CANCER CENTER
Facility Name	POUDRE VALLEY HOSPITAL CANCER CENTER LABORATORY
Street	2121 E HARMONY RD, STE 170 CANCER CENTER
City	FORT COLLINS
State	CO
ZIP	80528
Phone	970 237-7713
CertificateType	1
CertificateEffectiveDate	2/18/2023
CertificateExpirationDate	2/17/2025
FacilityType	Accreditation

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