06D1045675 CLIA NUMBER - COLORADO TREATMENT SERVICES LLC

Laboratory Demographics

CLIA Number: 06D1045675

Facility Name: COLORADO TREATMENT SERVICES LLC

Facility Address:
5360 N ACADEMY BLVD, SUITE 290
COLORADO SPRINGS, CO
ZIP 80918
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Facility Phone Number: 719 434-2061

Facility Type: Other - OPIOD TREATMENT CENTER

Certificate Type: Waiver

NPI Number: 1740426808

Taxonomy: 261QM2800X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

CLIA Record

Field Name	Field Value
CLIA Number	06D1045675
LAB Type	Other - OPIOD TREATMENT CENTER
Facility Name	COLORADO TREATMENT SERVICES LLC
Street	5360 N ACADEMY BLVD, SUITE 290
City	COLORADO SPRINGS
State	CO
ZIP	80918
Phone	719 434-2061
CertificateType	4
CertificateEffectiveDate	9/21/2023
CertificateExpirationDate	9/20/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024