06D0979770 CLIA NUMBER - SUMMIT DERMATOLOGY, PC

Laboratory Demographics

  • CLIA Code: 06D0979770
  • Facility Name: SUMMIT DERMATOLOGY, PC
  • Facility Address: 8890 N UNION BLVD, STE 207
    COLORADO SPRINGS, CO
    ZIP 80920
  • Facility Phone: 719 667-0888
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. KEVIN L. WHALEY
  • NPI Number: 1629291893
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 06D0979770
LAB Type Physician Office
Facility Name SUMMIT DERMATOLOGY, PC
Street 8890 N UNION BLVD, STE 207
City COLORADO SPRINGS
State CO
ZIP 80920
Phone 719 667-0888
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/4/2021
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director DR. KEVIN L. WHALEY

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