06D1072141 CLIA NUMBER - CENTER AT CENTENNIAL

Laboratory Demographics

  • CLIA Code: 06D1072141
  • Facility Name: CENTER AT CENTENNIAL
  • Facility Address: 3490 CENTENNIAL BLVD
    COLORADO SPRINGS, CO
    ZIP 80907
  • Facility Phone: 719 685-8888
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: GERRY LAFONT
  • NPI Number: 1033149885
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 06D1072141
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CENTER AT CENTENNIAL
Street 3490 CENTENNIAL BLVD
City COLORADO SPRINGS
State CO
ZIP 80907
Phone 719 685-8888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/9/2025
Certificate Expiration Date 8/8/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director GERRY LAFONT

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