06D2080711 CLIA NUMBER - UCHEALTH EMERGENCY ROOM - FOUNTAIN

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Laboratory Demographics

CLIA Number: 06D2080711

Facility Name: UCHEALTH EMERGENCY ROOM - FOUNTAIN

Facility Address:
7890 FOUNTAIN MESA BLVD
FOUNTAIN, CO
ZIP 80817
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Facility Phone Number: 719 365-5808

Facility Type: Other - FREE-STANDING ER

Certificate Type: Accreditation

NPI Number: 1952729287

Taxonomy: 261QE0002X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	06D2080711
LAB Type	Other - FREE-STANDING ER
Facility Name	UCHEALTH EMERGENCY ROOM - FOUNTAIN
Street	7890 FOUNTAIN MESA BLVD
City	FOUNTAIN
State	CO
ZIP	80817
Phone	719 365-5808
CertificateType	1
CertificateEffectiveDate	8/7/2023
CertificateExpirationDate	8/6/2025
FacilityType	Accreditation

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