06D2235136 CLIA NUMBER - CARBON HEALTH MEDICAL GROUP OF FLORIDA, PA

Laboratory Demographics

CLIA Number: 06D2235136

Facility Name: CARBON HEALTH MEDICAL GROUP OF FLORIDA, PA

Facility Address:
10435 REED ST, SUITE 100
WESTMINSTER, CO
ZIP 80021
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Facility Phone Number: 303 747-5024

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1437807401

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	06D2235136
LAB Type	Physician Office
Facility Name	CARBON HEALTH MEDICAL GROUP OF FLORIDA, PA
Street	10435 REED ST, SUITE 100
City	WESTMINSTER
State	CO
ZIP	80021
Phone	303 747-5024
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