06D2100915 CLIA NUMBER - PARK RIDGE SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 06D2100915
  • Facility Name: PARK RIDGE SURGERY CENTER
  • Facility Address: 10450 PARK MEADOWS DRIVE, SUITE 200
    LONE TREE, CO
    ZIP 80124
  • Facility Phone: 303 792-2422
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JOHN M. EHRICHS
  • NPI Number: 1245635093
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 06D2100915
LAB Type Ambulatory Surgery Center
Facility Name PARK RIDGE SURGERY CENTER
Street 10450 PARK MEADOWS DRIVE, SUITE 200
City LONE TREE
State CO
ZIP 80124
Phone 303 792-2422
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2025
Certificate Expiration Date 8/24/2027
Facility Type Ambulatory Surgery Center
Lab Director JOHN M. EHRICHS

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