06D2271771 CLIA NUMBER - COLORADO UROLOGIC SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 06D2271771
  • Facility Name: COLORADO UROLOGIC SURGERY CENTER LLC
  • Facility Address: 11900 GRANT ST, SUITE 200
    NORTHGLENN, CO
    ZIP 80233
  • Facility Phone: 303 985-2550
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. CHARLES C. ANDERSON
  • NPI Number: 1962501551
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 06D2271771
LAB Type Ambulatory Surgery Center
Facility Name COLORADO UROLOGIC SURGERY CENTER LLC
Street 11900 GRANT ST, SUITE 200
City NORTHGLENN
State CO
ZIP 80233
Phone 303 985-2550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2024
Certificate Expiration Date 11/7/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. CHARLES C. ANDERSON

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