06D2148899 CLIA NUMBER - PROFESSIONAL PHARMACY, LLC

Laboratory Demographics

  • CLIA Code: 06D2148899
  • Facility Name: PROFESSIONAL PHARMACY, LLC
  • Facility Address: 595 CHAPEL HILLS DR, STE 104
    COLORADO SPRINGS, CO
    ZIP 80920
  • Facility Phone: 719 633-8278
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DOUGLAS J. MASSINGILL
  • NPI Number: 1013152198
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2148899
LAB Type Pharmacy
Facility Name PROFESSIONAL PHARMACY, LLC
Street 595 CHAPEL HILLS DR, STE 104
City COLORADO SPRINGS
State CO
ZIP 80920
Phone 719 633-8278
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2024
Certificate Expiration Date 5/21/2026
Facility Type Pharmacy
Lab Director DOUGLAS J. MASSINGILL

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