06D2284731 CLIA NUMBER - PARAMOUNT REHAB CENTER, LLC

Laboratory Demographics

CLIA Number: 06D2284731

Facility Name: PARAMOUNT REHAB CENTER, LLC

Facility Address:
12500 E ILLIFF AVE, SUITE 250
AURORA, CO
ZIP 80014
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Facility Phone Number: 720 999-6115

Facility Type: Comp. Outpatient Rehab Facility

Certificate Type: Waiver

NPI Number: 1578348330

Taxonomy: 101YA0400X - Counselor

CLIA Record

Field Name	Field Value
CLIA Number	06D2284731
LAB Type	Comp. Outpatient Rehab Facility
Facility Name	PARAMOUNT REHAB CENTER, LLC
Street	12500 E ILLIFF AVE, SUITE 250
City	AURORA
State	CO
ZIP	80014
Phone	720 999-6115
CertificateType	4
CertificateEffectiveDate	6/28/2023
CertificateExpirationDate	6/27/2025
FacilityType	Waiver

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