06D2246955 CLIA NUMBER - BASALT ORTHOPEDIC SURGERY CENTER, LLC DBA STEADMAN PHILIPPON SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 06D2246955
  • Facility Name: BASALT ORTHOPEDIC SURGERY CENTER, LLC DBA STEADMAN PHILIPPON SURGERY CENTER
  • Facility Address: 200 ROBINSON ST
    BASALT, CO
    ZIP 81621
  • Facility Phone: 303 946-6448
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: MANDY WILLIAMS
  • NPI Number: 1528653037
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 06D2246955
LAB Type Ancillary Testing Site in Health Care Center
Facility Name BASALT ORTHOPEDIC SURGERY CENTER, LLC DBA STEADMAN PHILIPPON SURGERY CENTER
Street 200 ROBINSON ST
City BASALT
State CO
ZIP 81621
Phone 303 946-6448
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2024
Certificate Expiration Date 1/2/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director MANDY WILLIAMS

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This page was last updated on: 9/29/2025