06D2219782 CLIA NUMBER - MATTHEWS-VU MEDICAL GROUP, PC

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Laboratory Demographics

CLIA Number: 06D2219782

Facility Name: MATTHEWS-VU MEDICAL GROUP, PC

Facility Address:
1550 PULSAR DR, SUITE 100
COLORADO SPRINGS, CO
ZIP 80916
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Facility Phone Number: 719 632-4455

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1285235127

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	06D2219782
LAB Type	Physician Office
Facility Name	MATTHEWS-VU MEDICAL GROUP, PC
Street	1550 PULSAR DR, SUITE 100
City	COLORADO SPRINGS
State	CO
ZIP	80916
Phone	719 632-4455
CertificateType	3
CertificateEffectiveDate	4/7/2023
CertificateExpirationDate	4/6/2025
FacilityType	PPMP

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