06D2158779 CLIA NUMBER - FOOTHILLS INTEGRATED HEALTH SYSTEMS, LLC

Laboratory Demographics

CLIA Number: 06D2158779

Facility Name: FOOTHILLS INTEGRATED HEALTH SYSTEMS, LLC

Facility Address:
7761 SHAFFER PARKWAY, SUITE 225
LITTLETON, CO
ZIP 80127
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Facility Phone Number: 303 862-1504

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1114557063

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	06D2158779
LAB Type	Practitioner Other
Facility Name	FOOTHILLS INTEGRATED HEALTH SYSTEMS, LLC
Street	7761 SHAFFER PARKWAY, SUITE 225
City	LITTLETON
State	CO
ZIP	80127
Phone	303 862-1504
CertificateType	4
CertificateEffectiveDate	12/6/2022
CertificateExpirationDate	12/5/2024
FacilityType	Waiver

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