06D2110592 CLIA NUMBER - METAMORPHOSIS, LTD

Laboratory Demographics

  • CLIA Code: 06D2110592
  • Facility Name: METAMORPHOSIS, LTD
  • Facility Address: 2140 HOLLOW BROOK DRIVE, SUITE 110
    COLORADO SPRINGS, CO
    ZIP 80918
  • Facility Phone: 719 896-4180
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LISA G. PEARSON
  • NPI Number: 1003415860
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 06D2110592
LAB Type Physician Office
Facility Name METAMORPHOSIS, LTD
Street 2140 HOLLOW BROOK DRIVE, SUITE 110
City COLORADO SPRINGS
State CO
ZIP 80918
Phone 719 896-4180
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2024
Certificate Expiration Date 3/20/2026
Facility Type Physician Office
Lab Director LISA G. PEARSON

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