06D2085659 CLIA NUMBER - BANNER HEALTH PHYSICIANS COLORADO, LLC

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Laboratory Demographics

CLIA Number: 06D2085659

Facility Name: BANNER HEALTH PHYSICIANS COLORADO, LLC

Facility Address:
2555 E 13TH ST, STE 230
LOVELAND, CO
ZIP 80537
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Facility Phone Number: 970 203-2475

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1730598749

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	06D2085659
LAB Type	Physician Office
Facility Name	BANNER HEALTH PHYSICIANS COLORADO, LLC
Street	2555 E 13TH ST, STE 230
City	LOVELAND
State	CO
ZIP	80537
Phone	970 203-2475
CertificateType	3
CertificateEffectiveDate	10/20/2022
CertificateExpirationDate	10/19/2024
FacilityType	PPMP

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