06D0855560 CLIA NUMBER - UCHEALTH HEART CLINIC- MEMORIAL HOSPITAL

Laboratory Demographics

  • CLIA Code: 06D0855560
  • Facility Name: UCHEALTH HEART CLINIC- MEMORIAL HOSPITAL
  • Facility Address: 1400 E BOULDER ST SUITE 700
    COLORADO SPRINGS, CO
    ZIP 80909
  • Facility Phone: 719 365-6550
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JORGE DAVALOS
  • NPI Number: 1679637904
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D0855560
LAB Type Physician Office
Facility Name UCHEALTH HEART CLINIC- MEMORIAL HOSPITAL
Street 1400 E BOULDER ST SUITE 700
City COLORADO SPRINGS
State CO
ZIP 80909
Phone 719 365-6550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2024
Certificate Expiration Date 10/30/2026
Facility Type Physician Office
Lab Director DR. JORGE DAVALOS

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