06D2175621 CLIA NUMBER - QWIKCAREMD, FRONT RANGE URGENT CARE COMFORT CARE FAMILY PRACTICE

Laboratory Demographics

CLIA Number: 06D2175621

Facility Name: QWIKCAREMD, FRONT RANGE URGENT CARE COMFORT CARE FAMILY PRACTICE

Facility Address:
402 GARDEN OF THE GODS RD
COLORADO SPRINGS, CO
ZIP 80907
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Facility Phone Number: 719 471-2273

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1598143778

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	06D2175621
LAB Type	Physician Office
Facility Name	QWIKCAREMD, FRONT RANGE URGENT CARE COMFORT CARE FAMILY PRACTICE
Street	402 GARDEN OF THE GODS RD
City	COLORADO SPRINGS
State	CO
ZIP	80907
Phone	719 471-2273
CertificateType	4
CertificateEffectiveDate	11/25/2023
CertificateExpirationDate	11/24/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024