06D2278311 CLIA NUMBER - VALLEY VIEW SURGERY CENTER AT BASALT

Laboratory Demographics

  • CLIA Code: 06D2278311
  • Facility Name: VALLEY VIEW SURGERY CENTER AT BASALT
  • Facility Address: 1450 E VALLEY ROAD, SUITE 202
    BASALT, CO
    ZIP 81621
  • Facility Phone: 970 384-7187
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: TOMAS PEVNY
  • NPI Number: 1508401506
  • Taxonomy: 213ES0103X - Podiatrist

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CLIA Record

Field Name Field Value
CLIA Number 06D2278311
LAB Type Ambulatory Surgery Center
Facility Name VALLEY VIEW SURGERY CENTER AT BASALT
Street 1450 E VALLEY ROAD, SUITE 202
City BASALT
State CO
ZIP 81621
Phone 970 384-7187
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2025
Certificate Expiration Date 3/14/2027
Facility Type Ambulatory Surgery Center
Lab Director TOMAS PEVNY

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