06D2089202 CLIA NUMBER - MILE HIGH SURGICENTER, LLC

Laboratory Demographics

  • CLIA Code: 06D2089202
  • Facility Name: MILE HIGH SURGICENTER, LLC
  • Facility Address: 5351 S ROSLYN ST, STE 300
    GREENWOOD VILLAGE, CO
    ZIP 80111
  • Facility Phone: 303 221-9500
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. ROBERT M. MACDONALD
  • NPI Number: 1649676602
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 06D2089202
LAB Type Ambulatory Surgery Center
Facility Name MILE HIGH SURGICENTER, LLC
Street 5351 S ROSLYN ST, STE 300
City GREENWOOD VILLAGE
State CO
ZIP 80111
Phone 303 221-9500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2024
Certificate Expiration Date 12/21/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. ROBERT M. MACDONALD

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