1. Home
  2. Directory
  3. Colorado
  4. Golden
  5. Clinic Center
  6. NPI Profile

THE SURGERY CENTER AT LUTHERAN
NPI 1124086608
Clinic/Center - Ambulatory Surgical in Golden, CO

Active since May 03, 2006CLIA 06D1051951 · Waiver
12905 W 40TH AVE STE 100, GOLDEN, CO 80401(303) 301-7700(303) 301-7701 Get Directions Write a Review

NPPES record last updated: November 14, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 14, 2024, Aug 22, 2020 (2 updates tracked since 2020).

About The Surgery Center At Lutheran NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE SURGERY CENTER AT LUTHERAN (NPI 1124086608) is a healthcare organization registered as an ambulatory surgical in Golden, Colorado and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through March 13, 2028 and lists Jennifer Decker, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1124086608
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameLUTHERAN CAMPUS ASC LLC
Location Address12905 W 40TH AVE STE 100Golden, CO 80401-2791
Mailing Address12905 W 40th Ave Ste 100Golden, CO 80401-2791 · (303) 301-7700 · Fax (303) 301-7701
Phone(303) 301-7700
Fax(303) 301-7701
Organization SubpartNo
Authorized OfficialJennifer DeckerChief Administrative Officer · (303) 301-7705
Enumeration DateMay 3, 2006
Last NPPES UpdateNovember 14, 20242 updates tracked since enumeration
NPPES CertifiedNovember 14, 2024
✔ NPI 1124086608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
12905 W 40TH AVE STE 100, Golden, CO 80401
Open in Google Maps ↗

Other Names 1

Doing Business AsThe Surgery Center At Lutheran

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D1051951

Lutheran Campus ASC, LLC Dba - The Surgery Center At Lutheran · Golden, CO
Active · expires Mar 13, 2028
CLIA Number06D1051951
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 14, 2026
Certificate Expiration DateMarch 13, 2028
Laboratory DirectorDr. Clifton A. Daniels
Laboratory Phone(303) 301-7700
Laboratory LocationLutheran Campus ASC, LLC Dba - The Surgery Center At Lutheran12905 W 40th Avenue, Suite 100, Golden, CO 80401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, bupivacaine liposome, 1 mg C9290
Bupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.
5,737 services47 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
108 services74 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
47 services24 patients
Release and/or relocation of hand nerve 64721
This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.
42 services26 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
31 services11 patients
Correction of toe joint deformity 28285
Correction of toe joint deformity is a procedure to fix misshapen toe joints. This can involve realigning the bones, removing bone or tissue, or implanting devices to improve joint function. It can help reduce pain and improve mobility.
23 services13 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AUDREY KRAJEC
Registered Nurse
12905 W 40TH AVE STE 100
GOLDEN, CO 80401
Jefferson County (303) 301-7700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lutheran Campus ASC LLC's NPI number?

The NPI number for Lutheran Campus ASC LLC is 1124086608. It was assigned to this organization in the NPPES registry on May 3, 2006. The provider is doing business as The Surgery Center At Lutheran.

Where is Lutheran Campus ASC LLC located?

Lutheran Campus ASC LLC is located at 12905 W 40th Ave Ste 100, Golden, CO 80401. The listed phone number is (303) 301-7700.

What is Lutheran Campus ASC LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Lutheran Campus ASC LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D1051951) is associated with this NPI, valid through March 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lutheran Campus ASC LLC was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.