06D2289310 CLIA NUMBER - UCHEALTH EASTVIEW MEDICAL CENTER

Laboratory Demographics

CLIA Number: 06D2289310

Facility Name: UCHEALTH EASTVIEW MEDICAL CENTER

Facility Address:
3843 RIO VISTA DR
COLORADO SPRINGS, CO
ZIP 80917
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Facility Phone Number: 719 365-5089

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1447724505

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	06D2289310
LAB Type	Ambulatory Surgery Center
Facility Name	UCHEALTH EASTVIEW MEDICAL CENTER
Street	3843 RIO VISTA DR
City	COLORADO SPRINGS
State	CO
ZIP	80917
Phone	719 365-5089
CertificateType	4
CertificateEffectiveDate	9/8/2023
CertificateExpirationDate	9/7/2025
FacilityType	Waiver

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