06D1090669 CLIA NUMBER - PENRAD IMAGING

Laboratory Demographics

  • CLIA Code: 06D1090669
  • Facility Name: PENRAD IMAGING
  • Facility Address: 3050 N CIRCLE DRIVE
    COLORADO SPRINGS, CO
    ZIP 80909
  • Facility Phone: 719 785-9000
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: TIMOTHY J. SAXTON
  • NPI Number: 1003906868
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 06D1090669
LAB Type Other
Facility Name PENRAD IMAGING
Street 3050 N CIRCLE DRIVE
City COLORADO SPRINGS
State CO
ZIP 80909
Phone 719 785-9000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2024
Certificate Expiration Date 10/15/2026
Facility Type Other
Lab Director TIMOTHY J. SAXTON

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