06D2185419 CLIA NUMBER - ALLIGATOR ALLERGY & ASTHMA

Laboratory Demographics

CLIA Number: 06D2185419

Facility Name: ALLIGATOR ALLERGY & ASTHMA

Facility Address:
4194 ROYAL PINE DR
COLORADO SPRINGS, CO
ZIP 80920
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Facility Phone Number: 719 344-5355

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1043680119

Taxonomy: 261QM2500X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

CLIA Record

Field Name	Field Value
CLIA Number	06D2185419
LAB Type	Physician Office
Facility Name	ALLIGATOR ALLERGY & ASTHMA
Street	4194 ROYAL PINE DR
City	COLORADO SPRINGS
State	CO
ZIP	80920
Phone	719 344-5355
CertificateType	3
CertificateEffectiveDate	6/3/2022
CertificateExpirationDate	6/2/2024
FacilityType	PPMP

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