06D2235063 CLIA NUMBER - ALIGN MEDICAL CENTER

Laboratory Demographics

CLIA Number: 06D2235063

Facility Name: ALIGN MEDICAL CENTER

Facility Address:
6557 BUTTERCUP DRIVE, UNIT 6
WELLINGTON, CO
ZIP 80549
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Facility Phone Number: 307 222-2337

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1396338901

Taxonomy: 363LF0000X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	06D2235063
LAB Type	Physician Office
Facility Name	ALIGN MEDICAL CENTER
Street	6557 BUTTERCUP DRIVE, UNIT 6
City	WELLINGTON
State	CO
ZIP	80549
Phone	307 222-2337
CertificateType	4
CertificateEffectiveDate	9/7/2023
CertificateExpirationDate	9/6/2025
FacilityType	Waiver

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