06D2297721 CLIA NUMBER - CORNERSTONE SURGICAL SUITES, LLC

Laboratory Demographics

CLIA Number: 06D2297721

Facility Name: CORNERSTONE SURGICAL SUITES, LLC

Facility Address:
7237 CHURCH RANCH BLVD, SUITE 408
WESTMINSTER, CO
ZIP 80021
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Facility Phone Number: 303 339-4056

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1790557312

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	06D2297721
LAB Type	Ambulatory Surgery Center
Facility Name	CORNERSTONE SURGICAL SUITES, LLC
Street	7237 CHURCH RANCH BLVD, SUITE 408
City	WESTMINSTER
State	CO
ZIP	80021
Phone	303 339-4056
CertificateType	4
CertificateEffectiveDate	1/22/2024
CertificateExpirationDate	1/21/2026
FacilityType	Waiver

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