06D2220685 CLIA NUMBER - CARBON HEALTH MEDICAL GROUP OF FLORIDA, PA

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Laboratory Demographics

CLIA Number: 06D2220685

Facility Name: CARBON HEALTH MEDICAL GROUP OF FLORIDA, PA

Facility Address:
6554 SOUTH PARKER ROAD, SUITE 111
AURORA, CO
ZIP 80016
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Facility Phone Number: 720 307-2643

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1295457786

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	06D2220685
LAB Type	Physician Office
Facility Name	CARBON HEALTH MEDICAL GROUP OF FLORIDA, PA
Street	6554 SOUTH PARKER ROAD, SUITE 111
City	AURORA
State	CO
ZIP	80016
Phone	720 307-2643
CertificateType	4
CertificateEffectiveDate	4/14/2023
CertificateExpirationDate	4/13/2025
FacilityType	Waiver

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