06D2162774 CLIA NUMBER - SPRINGBOK HEALTH, INC - COLORADO SPRINGS

Laboratory Demographics

  • CLIA Code: 06D2162774
  • Facility Name: SPRINGBOK HEALTH, INC - COLORADO SPRINGS
  • Facility Address: 1318 WEST COLORADO AVE
    COLORADO SPRINGS, CO
    ZIP 80904
  • Facility Phone: 719 766-8511
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MARK JANKELOW
  • NPI Number: 1952781601
  • Taxonomy: 363LP0808X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 06D2162774
LAB Type Practitioner Other
Facility Name SPRINGBOK HEALTH, INC - COLORADO SPRINGS
Street 1318 WEST COLORADO AVE
City COLORADO SPRINGS
State CO
ZIP 80904
Phone 719 766-8511
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Practitioner Other
Lab Director MARK JANKELOW

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