06D0982134 CLIA NUMBER - DIVERSUS HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 06D0982134
  • Facility Name: DIVERSUS HEALTH SERVICES
  • Facility Address: 115 SOUTH PARKSIDE DR
    COLORADO SPRINGS, CO
    ZIP 80910
  • Facility Phone: 719 572-6100
  • Facility Type: Other - COMM MENTAL HEALTH SVCS
  • Facility Type: Waiver
  • Lab Director: DR. MICHEL FRED
  • NPI Number: 1003271776
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 06D0982134
LAB Type Other - COMM MENTAL HEALTH SVCS
Facility Name DIVERSUS HEALTH SERVICES
Street 115 SOUTH PARKSIDE DR
City COLORADO SPRINGS
State CO
ZIP 80910
Phone 719 572-6100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2025
Certificate Expiration Date 1/16/2027
Facility Type Other - COMM MENTAL HEALTH SVCS
Lab Director DR. MICHEL FRED

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