06D2088494 CLIA NUMBER - STERLING REGIONAL MEDCENTER BANNER HEALTH CENTER - STERLING

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Laboratory Demographics

CLIA Number: 06D2088494

Facility Name: STERLING REGIONAL MEDCENTER BANNER HEALTH CENTER - STERLING

Facility Address:
102 HAYS AVE
STERLING, CO
ZIP 80751
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Facility Phone Number: 970 521-3223

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1225549389

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	06D2088494
LAB Type	Physician Office
Facility Name	STERLING REGIONAL MEDCENTER BANNER HEALTH CENTER - STERLING
Street	102 HAYS AVE
City	STERLING
State	CO
ZIP	80751
Phone	970 521-3223
CertificateType	4
CertificateEffectiveDate	12/15/2022
CertificateExpirationDate	12/14/2024
FacilityType	Waiver

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