06D2164829 CLIA NUMBER - SCW RECOVERY, LLC

Laboratory Demographics

CLIA Number: 06D2164829

Facility Name: SCW RECOVERY, LLC

Facility Address:
330 FIELDER AVE, SUITE 103
DILLON, CO
ZIP 80435
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Facility Phone Number: 303 941-7976

Facility Type: Other - SUBSTANCE ABUSE TREATMENT

Certificate Type: Waiver

NPI Number: 1114584232

Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

CLIA Record

Field Name	Field Value
CLIA Number	06D2164829
LAB Type	Other - SUBSTANCE ABUSE TREATMENT
Facility Name	SCW RECOVERY, LLC
Street	330 FIELDER AVE, SUITE 103
City	DILLON
State	CO
ZIP	80435
Phone	303 941-7976
CertificateType	4
CertificateEffectiveDate	4/15/2023
CertificateExpirationDate	4/14/2025
FacilityType	Waiver

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