06D2085545 CLIA NUMBER - ASC LONE TREE LLC

Laboratory Demographics

  • CLIA Code: 06D2085545
  • Facility Name: ASC LONE TREE LLC
  • Facility Address: 10520 EL DIENTE CT
    ENGLEWOOD, CO
    ZIP 80112
  • Facility Phone: 720 248-0797
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. TAMMY J. ROBERTS
  • NPI Number: 1053711275
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 06D2085545
LAB Type Ambulatory Surgery Center
Facility Name ASC LONE TREE LLC
Street 10520 EL DIENTE CT
City ENGLEWOOD
State CO
ZIP 80112
Phone 720 248-0797
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2024
Certificate Expiration Date 10/15/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. TAMMY J. ROBERTS

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