06D2114400 CLIA NUMBER - SANDSTONE CARE COS, LLC

Laboratory Demographics

CLIA Number: 06D2114400

Facility Name: SANDSTONE CARE COS, LLC

Facility Address:
5250 PIKES PEAK HIGHWAY
CASCADE, CO
ZIP 80809
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Facility Phone Number: 719 963-1923

Facility Type: Other - OUTPATIENT TREATMENT CTR

Certificate Type: Waiver

NPI Number: 1023591104

Taxonomy: 3245S0500X - Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

CLIA Record

Field Name	Field Value
CLIA Number	06D2114400
LAB Type	Other - OUTPATIENT TREATMENT CTR
Facility Name	SANDSTONE CARE COS, LLC
Street	5250 PIKES PEAK HIGHWAY
City	CASCADE
State	CO
ZIP	80809
Phone	719 963-1923
CertificateType	4
CertificateEffectiveDate	6/14/2022
CertificateExpirationDate	6/13/2024
FacilityType	Waiver

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