06D2119772 CLIA NUMBER - NORTH CARE ASC, LLC

Laboratory Demographics

CLIA Number: 06D2119772

Facility Name: NORTH CARE ASC, LLC

Facility Address:
6071 E WOODMEN RD SUITE 352
COLORADO SPRINGS, CO
ZIP 80923
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Facility Phone Number: 719 531-7007

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1437501145

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 06D2119772
LAB Type Ambulatory Surgery Center
Facility Name NORTH CARE ASC, LLC
Street 6071 E WOODMEN RD SUITE 352
City COLORADO SPRINGS
State CO
ZIP 80923
Phone 719 531-7007
CertificateType 4
CertificateEffectiveDate 10/4/2022
CertificateExpirationDate 10/3/2024
FacilityType Waiver

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