06D2027931 CLIA NUMBER - CONCENTRA - BIJOU

Laboratory Demographics

  • CLIA Code: 06D2027931
  • Facility Name: CONCENTRA - BIJOU
  • Facility Address: 402 W BIJOU ST
    COLORADO SPRINGS, CO
    ZIP 80905
  • Facility Phone: 719 302-6942
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MARCIE WILDE
  • NPI Number: 1245873058
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 06D2027931
LAB Type Physician Office
Facility Name CONCENTRA - BIJOU
Street 402 W BIJOU ST
City COLORADO SPRINGS
State CO
ZIP 80905
Phone 719 302-6942
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2025
Certificate Expiration Date 8/3/2027
Facility Type Physician Office
Lab Director DR. MARCIE WILDE

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