06D0920654 CLIA NUMBER - MUNNI R SELAGAMSETTY

Laboratory Demographics

  • CLIA Code: 06D0920654
  • Facility Name: MUNNI R SELAGAMSETTY
  • Facility Address: 2875 INTERNATIONAL CIRCLE
    COLORADO SPRINGS, CO
    ZIP 80910
  • Facility Phone: 719 389-0070
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MUNNI R. SELAGAMSETTY
  • NPI Number: 1588621072
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 06D0920654
LAB Type Physician Office
Facility Name MUNNI R SELAGAMSETTY
Street 2875 INTERNATIONAL CIRCLE
City COLORADO SPRINGS
State CO
ZIP 80910
Phone 719 389-0070
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2024
Certificate Expiration Date 10/7/2026
Facility Type Physician Office
Lab Director MUNNI R. SELAGAMSETTY

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