06D2113417 CLIA NUMBER - DIVERSUS HEALTH SERVICES

Laboratory Demographics

CLIA Number: 06D2113417

Facility Name: DIVERSUS HEALTH SERVICES

Facility Address:
875 W MORENO AVE
COLORADO SPRINGS, CO
ZIP 80906
Get Directions

Facility Phone Number: 719 572-6100

Facility Type: Other - COMM MENTAL HEALTH CLINIC

Certificate Type: Waiver

NPI Number: 1144685918

Taxonomy: 261QM0801X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	06D2113417
LAB Type	Other - COMM MENTAL HEALTH CLINIC
Facility Name	DIVERSUS HEALTH SERVICES
Street	875 W MORENO AVE
City	COLORADO SPRINGS
State	CO
ZIP	80906
Phone	719 572-6100
CertificateType	4
CertificateEffectiveDate	5/23/2022
CertificateExpirationDate	5/22/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024