06D1002395 CLIA NUMBER - COLORADO SPRINGS CBOC

Laboratory Demographics

  • CLIA Code: 06D1002395
  • Facility Name: COLORADO SPRINGS CBOC
  • Facility Address: 3141 CENTENNIAL BLVD
    COLORADO SPRINGS, CO
    ZIP 80907
  • Facility Phone: 719 327-5660
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: DEEPSHIKHA DATTA
  • NPI Number: 1215988936
  • Taxonomy: 225400000X - Rehabilitation Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 06D1002395
LAB Type Community Clinic
Facility Name COLORADO SPRINGS CBOC
Street 3141 CENTENNIAL BLVD
City COLORADO SPRINGS
State CO
ZIP 80907
Phone 719 327-5660
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 8/6/2002
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director DEEPSHIKHA DATTA

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