06D2100103 CLIA NUMBER - SURGICAL CENTER OF PEAK ENDOSCOPY, LLC

Laboratory Demographics

CLIA Number: 06D2100103

Facility Name: SURGICAL CENTER OF PEAK ENDOSCOPY, LLC

Facility Address:
2920 NORTH CASCADE AVE, FIRST FLOOR
COLORADO SPRINGS, CO
ZIP 80903
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Facility Phone Number: 719 362-2300

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1912388026

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 06D2100103
LAB Type Ambulatory Surgery Center
Facility Name SURGICAL CENTER OF PEAK ENDOSCOPY, LLC
Street 2920 NORTH CASCADE AVE, FIRST FLOOR
City COLORADO SPRINGS
State CO
ZIP 80903
Phone 719 362-2300
CertificateType 4
CertificateEffectiveDate 8/7/2023
CertificateExpirationDate 8/6/2025
FacilityType Waiver

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