06D2200617 CLIA NUMBER - ALLIANT PALLIATIVE CARE AND HOSPICE CO LLC

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Laboratory Demographics

CLIA Number: 06D2200617

Facility Name: ALLIANT PALLIATIVE CARE AND HOSPICE CO LLC

Facility Address:
12995 SHERIDAN BLVD STE 205
BROOMFIELD, CO
ZIP 80020
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Facility Phone Number: 303 424-8000

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1487275590

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	06D2200617
LAB Type	Hospice
Facility Name	ALLIANT PALLIATIVE CARE AND HOSPICE CO LLC
Street	12995 SHERIDAN BLVD STE 205
City	BROOMFIELD
State	CO
ZIP	80020
Phone	303 424-8000
CertificateType	4
CertificateEffectiveDate	11/17/2022
CertificateExpirationDate	11/16/2024
FacilityType	Waiver

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