06D0517728 CLIA NUMBER - T SCOTT BRASSFIELD MD

Laboratory Demographics

  • CLIA Code: 06D0517728
  • Facility Name: T SCOTT BRASSFIELD MD
  • Facility Address: 3220 N ACADEMY BLVD 5
    COLORADO SPRINGS, CO
    ZIP 80917
  • Facility Phone: 719 574-3600
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: T SCOTT BRASSFIELD
  • NPI Number: 1801081617
  • Taxonomy: 305R00000X - Preferred Provider Organization

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CLIA Record

Field Name Field Value
CLIA Number 06D0517728
LAB Type Physician Office
Facility Name T SCOTT BRASSFIELD MD
Street 3220 N ACADEMY BLVD 5
City COLORADO SPRINGS
State CO
ZIP 80917
Phone 719 574-3600
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 8/16/2024
Certificate Expiration Date 8/15/2026
Facility Type Physician Office
Lab Director T SCOTT BRASSFIELD

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