06D2172865 CLIA NUMBER - LIBERTY DIALYSIS - COLORADO SPRINGS WEST

Laboratory Demographics

  • CLIA Code: 06D2172865
  • Facility Name: LIBERTY DIALYSIS - COLORADO SPRINGS WEST
  • Facility Address: 3326 CENTENNIAL BLVD
    COLORADO SPRINGS, CO
    ZIP 80907
  • Facility Phone: 719 593-2999
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL ROSS
  • NPI Number: 1497921274
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 06D2172865
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LIBERTY DIALYSIS - COLORADO SPRINGS WEST
Street 3326 CENTENNIAL BLVD
City COLORADO SPRINGS
State CO
ZIP 80907
Phone 719 593-2999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2025
Certificate Expiration Date 9/30/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. MICHAEL ROSS

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