06D2236246 CLIA NUMBER - COLORADO PALLIATIVE & HOSPICE CARE, LLC

Laboratory Demographics

CLIA Number: 06D2236246

Facility Name: COLORADO PALLIATIVE & HOSPICE CARE, LLC

Facility Address:
6551 S REVERE PARKWAY STE 130
CENTENNIAL, CO
ZIP 80111
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Facility Phone Number: 303 727-5709

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1851896906

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	06D2236246
LAB Type	Hospice
Facility Name	COLORADO PALLIATIVE & HOSPICE CARE, LLC
Street	6551 S REVERE PARKWAY STE 130
City	CENTENNIAL
State	CO
ZIP	80111
Phone	303 727-5709
CertificateType	4
CertificateEffectiveDate	9/15/2023
CertificateExpirationDate	9/14/2025
FacilityType	Waiver

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