06D2175837 CLIA NUMBER - MOUNTAIN MIRACLES MIDWIFERY, INC

Laboratory Demographics

  • CLIA Code: 06D2175837
  • Facility Name: MOUNTAIN MIRACLES MIDWIFERY, INC
  • Facility Address: 1213 WESTMORELAND RD
    COLORADO SPRINGS, CO
    ZIP 80907
  • Facility Phone: 719 428-5552
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: TIFFANY M. JORGENSON
  • NPI Number: 1871916270
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 06D2175837
LAB Type Practitioner Other
Facility Name MOUNTAIN MIRACLES MIDWIFERY, INC
Street 1213 WESTMORELAND RD
City COLORADO SPRINGS
State CO
ZIP 80907
Phone 719 428-5552
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2023
Certificate Expiration Date 12/2/2025
Facility Type Practitioner Other
Lab Director TIFFANY M. JORGENSON

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