06D2219203 CLIA NUMBER - DURANGO SURGERY CENTER, LLC

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Laboratory Demographics

CLIA Number: 06D2219203

Facility Name: DURANGO SURGERY CENTER, LLC

Facility Address:
1266 ESCALANTE DR, SUITE 101
DURANGO, CO
ZIP 81303
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Facility Phone Number: 970 385-2354

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1346218641

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	06D2219203
LAB Type	Ambulatory Surgery Center
Facility Name	DURANGO SURGERY CENTER, LLC
Street	1266 ESCALANTE DR, SUITE 101
City	DURANGO
State	CO
ZIP	81303
Phone	970 385-2354
CertificateType	4
CertificateEffectiveDate	4/2/2023
CertificateExpirationDate	4/1/2025
FacilityType	Waiver

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