06D2154414 CLIA NUMBER - E DAWN MARTIN CACIII, LLC DBA - RECOVERY UNLIMITED

Laboratory Demographics

  • CLIA Code: 06D2154414
  • Facility Name: E DAWN MARTIN CACIII, LLC DBA - RECOVERY UNLIMITED
  • Facility Address: 140 S PARKSIDE DR
    COLORADO SPRINGS, CO
    ZIP 80910
  • Facility Phone: 719 358-7338
  • Facility Type: Other - CLINIC PRACTITIONER
  • Facility Type: Waiver
  • Lab Director: DONNIE FENNIMORE
  • NPI Number: 1205326428
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 06D2154414
LAB Type Other - CLINIC PRACTITIONER
Facility Name E DAWN MARTIN CACIII, LLC DBA - RECOVERY UNLIMITED
Street 140 S PARKSIDE DR
City COLORADO SPRINGS
State CO
ZIP 80910
Phone 719 358-7338
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2024
Certificate Expiration Date 9/11/2026
Facility Type Other - CLINIC PRACTITIONER
Lab Director DONNIE FENNIMORE

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