06D2093900 CLIA NUMBER - RED ROCK RECOVERY CENTERS LLC

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Laboratory Demographics

CLIA Number: 06D2093900

Facility Name: RED ROCK RECOVERY CENTERS LLC

Facility Address:
8805 W 14TH AVE
LAKEWOOD, CO
ZIP 80215
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Facility Phone Number: 888 719-1097

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1225425911

Taxonomy: 261QR0405X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	06D2093900
LAB Type	Physician Office
Facility Name	RED ROCK RECOVERY CENTERS LLC
Street	8805 W 14TH AVE
City	LAKEWOOD
State	CO
ZIP	80215
Phone	888 719-1097
CertificateType	4
CertificateEffectiveDate	4/27/2023
CertificateExpirationDate	4/26/2025
FacilityType	Waiver

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