06D0713617 CLIA NUMBER - OPTUM COLORADO - MVMG

Laboratory Demographics

  • CLIA Code: 06D0713617
  • Facility Name: OPTUM COLORADO - MVMG
  • Facility Address: 2405 RESEARCH PARKWAY
    COLORADO SPRINGS, CO
    ZIP 80920
  • Facility Phone: 719 548-0700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ERIC ABBOTT
  • NPI Number: 1225352479
  • Taxonomy: 363LP0808X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 06D0713617
LAB Type Physician Office
Facility Name OPTUM COLORADO - MVMG
Street 2405 RESEARCH PARKWAY
City COLORADO SPRINGS
State CO
ZIP 80920
Phone 719 548-0700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2025
Certificate Expiration Date 8/31/2027
Facility Type Physician Office
Lab Director DR. ERIC ABBOTT

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