06D0667587 CLIA NUMBER - CONCENTRA - AUSTIN BLUFFS

Laboratory Demographics

CLIA Number: 06D0667587

Facility Name: CONCENTRA - AUSTIN BLUFFS

Facility Address:
4083 AUSTIN BLUFFS PKWY
COLORADO SPRINGS, CO
ZIP 80918
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Facility Phone Number: 719 594-0046

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1447409511

Taxonomy: 261QH0100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	06D0667587
LAB Type	Community Clinic
Facility Name	CONCENTRA - AUSTIN BLUFFS
Street	4083 AUSTIN BLUFFS PKWY
City	COLORADO SPRINGS
State	CO
ZIP	80918
Phone	719 594-0046
CertificateType	4
CertificateEffectiveDate	6/5/2023
CertificateExpirationDate	6/4/2025
FacilityType	Waiver

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