06D0880912 CLIA NUMBER - PHHC ACQUISITION CORP DBA -CENTERWELL HOME HEALTH

Laboratory Demographics

  • CLIA Code: 06D0880912
  • Facility Name: PHHC ACQUISITION CORP DBA -CENTERWELL HOME HEALTH
  • Facility Address: 5225 N ACADEMY BLVD, SUITE 106
    COLORADO SPRINGS, CO
    ZIP 80918
  • Facility Phone: 719 531-9585
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: KRISTALA S. CARLISLE
  • NPI Number: 1346408762
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 06D0880912
LAB Type Home Health Agency
Facility Name PHHC ACQUISITION CORP DBA -CENTERWELL HOME HEALTH
Street 5225 N ACADEMY BLVD, SUITE 106
City COLORADO SPRINGS
State CO
ZIP 80918
Phone 719 531-9585
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/29/2023
Certificate Expiration Date 12/28/2025
Facility Type Home Health Agency
Lab Director KRISTALA S. CARLISLE

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