06D2226416 CLIA NUMBER - EVERSIDE HEALTH - GREELEY WELD COUNTY

Laboratory Demographics

CLIA Number: 06D2226416

Facility Name: EVERSIDE HEALTH - GREELEY WELD COUNTY

Facility Address:
1551 NORTH 17TH AVE, SUITE 1
GREELEY, CO
ZIP 80631
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Facility Phone Number: 866 808-6005

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1992389100

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	06D2226416
LAB Type	Physician Office
Facility Name	EVERSIDE HEALTH - GREELEY WELD COUNTY
Street	1551 NORTH 17TH AVE, SUITE 1
City	GREELEY
State	CO
ZIP	80631
Phone	866 808-6005
CertificateType	4
CertificateEffectiveDate	5/31/2023
CertificateExpirationDate	5/30/2025
FacilityType	Waiver

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