06D2232789 CLIA NUMBER - INTERMOUNTAIN HEALTH HEART & VASCULAR WEST PARK

Laboratory Demographics

CLIA Number: 06D2232789

Facility Name: INTERMOUNTAIN HEALTH HEART & VASCULAR WEST PARK

Facility Address:
360 WEST PARK DRIVE
GRAND JUNCTION, CO
ZIP 81505
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Facility Phone Number: 970 298-3050

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1821647801

Taxonomy: 282N00000X - General Acute Care Hospital
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

CLIA Record

Field Name	Field Value
CLIA Number	06D2232789
LAB Type	Physician Office
Facility Name	INTERMOUNTAIN HEALTH HEART & VASCULAR WEST PARK
Street	360 WEST PARK DRIVE
City	GRAND JUNCTION
State	CO
ZIP	81505
Phone	970 298-3050
CertificateType	4
CertificateEffectiveDate	8/17/2023
CertificateExpirationDate	8/16/2025
FacilityType	Waiver

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