06D2177497 CLIA NUMBER - MENTALLY STRONG

Laboratory Demographics

  • CLIA Code: 06D2177497
  • Facility Name: MENTALLY STRONG
  • Facility Address: 3720 SINTON RD, SUITE 104
    COLORADO SPRINGS, CO
    ZIP 80907
  • Facility Phone: 877 827-7874
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: CRISTI L. BUNDUKAMARA
  • NPI Number: 1942775150
  • Taxonomy: 363LP0808X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 06D2177497
LAB Type Practitioner Other
Facility Name MENTALLY STRONG
Street 3720 SINTON RD, SUITE 104
City COLORADO SPRINGS
State CO
ZIP 80907
Phone 877 827-7874
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2024
Certificate Expiration Date 1/12/2026
Facility Type Practitioner Other
Lab Director CRISTI L. BUNDUKAMARA

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