06D0517601 CLIA NUMBER - PIKES PEAK NEPHROLOGY ASSOCIATES PC

Laboratory Demographics

  • CLIA Code: 06D0517601
  • Facility Name: PIKES PEAK NEPHROLOGY ASSOCIATES PC
  • Facility Address: 1914-1918 LELARAY ST
    COLORADO SPRINGS, CO
    ZIP 80909
  • Facility Phone: 719 632-7641
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. JESSE A. FLAXENBURG
  • NPI Number: 1184224461
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 06D0517601
LAB Type Physician Office
Facility Name PIKES PEAK NEPHROLOGY ASSOCIATES PC
Street 1914-1918 LELARAY ST
City COLORADO SPRINGS
State CO
ZIP 80909
Phone 719 632-7641
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DR. JESSE A. FLAXENBURG

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