06D2175642 CLIA NUMBER - VCPHCS XII, LLC BHG COLORADO SPRINGS TREATMENT CENTER

Laboratory Demographics

  • CLIA Code: 06D2175642
  • Facility Name: VCPHCS XII, LLC BHG COLORADO SPRINGS TREATMENT CENTER
  • Facility Address: 4157 CENTENNIAL BLVD
    COLORADO SPRINGS, CO
    ZIP 80907
  • Facility Phone: 214 365-6100
  • Facility Type: Other - SUBSTANCE ABUSE TREATMENT
  • Facility Type: Waiver
  • Lab Director: MARAE ENCINAS
  • NPI Number: 1972056547
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 06D2175642
LAB Type Other - SUBSTANCE ABUSE TREATMENT
Facility Name VCPHCS XII, LLC BHG COLORADO SPRINGS TREATMENT CENTER
Street 4157 CENTENNIAL BLVD
City COLORADO SPRINGS
State CO
ZIP 80907
Phone 214 365-6100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/25/2023
Certificate Expiration Date 11/24/2025
Facility Type Other - SUBSTANCE ABUSE TREATMENT
Lab Director MARAE ENCINAS

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