06D0955016 CLIA NUMBER - IRON HORSE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 06D0955016
  • Facility Name: IRON HORSE PEDIATRICS
  • Facility Address: 175 S UNION BLVD SUITE 255
    COLORADO SPRINGS, CO
    ZIP 80910
  • Facility Phone: 719 633-3850
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KERRI M. BAGNALL
  • NPI Number: 1477793578
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 06D0955016
LAB Type Physician Office
Facility Name IRON HORSE PEDIATRICS
Street 175 S UNION BLVD SUITE 255
City COLORADO SPRINGS
State CO
ZIP 80910
Phone 719 633-3850
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2024
Certificate Expiration Date 12/14/2026
Facility Type Physician Office
Lab Director DR. KERRI M. BAGNALL

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