06D2066967 CLIA NUMBER - EPIPHANY DERMATOLOGY OF COLORADO, LLC

Laboratory Demographics

  • CLIA Code: 06D2066967
  • Facility Name: EPIPHANY DERMATOLOGY OF COLORADO, LLC
  • Facility Address: 640 SOUTHPOINTE CT, STE 110
    COLORADO SPRINGS, CO
    ZIP 80906
  • Facility Phone: 719 867-2070
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. KISHAN M. SHAH
  • NPI Number: 1457792616
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 06D2066967
LAB Type Physician Office
Facility Name EPIPHANY DERMATOLOGY OF COLORADO, LLC
Street 640 SOUTHPOINTE CT, STE 110
City COLORADO SPRINGS
State CO
ZIP 80906
Phone 719 867-2070
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/13/2025
Certificate Expiration Date 5/12/2027
Facility Type Physician Office
Lab Director DR. KISHAN M. SHAH

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