06D2119772 CLIA NUMBER - NORTH CARE ASC, LLC

Laboratory Demographics

  • CLIA Code: 06D2119772
  • Facility Name: NORTH CARE ASC, LLC
  • Facility Address: 6071 E WOODMEN RD SUITE 352
    COLORADO SPRINGS, CO
    ZIP 80923
  • Facility Phone: 719 531-7007
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. JEFFREY MOODY
  • NPI Number: 1437501145
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 06D2119772
LAB Type Ambulatory Surgery Center
Facility Name NORTH CARE ASC, LLC
Street 6071 E WOODMEN RD SUITE 352
City COLORADO SPRINGS
State CO
ZIP 80923
Phone 719 531-7007
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2024
Certificate Expiration Date 10/3/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. JEFFREY MOODY

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