06D2192113 CLIA NUMBER - PIKES PEAK SPINE & JOINT, LLC

Laboratory Demographics

  • CLIA Code: 06D2192113
  • Facility Name: PIKES PEAK SPINE & JOINT, LLC
  • Facility Address: 3604 GALLEY RD #202
    COLORADO SPRINGS, CO
    ZIP 80909
  • Facility Phone: 719 602-3394
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KERRY C. LATCH
  • NPI Number: 1346800737
  • Taxonomy: 208VP0014X - Pain Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 06D2192113
LAB Type Physician Office
Facility Name PIKES PEAK SPINE & JOINT, LLC
Street 3604 GALLEY RD #202
City COLORADO SPRINGS
State CO
ZIP 80909
Phone 719 602-3394
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/4/2024
Certificate Expiration Date 9/3/2026
Facility Type Physician Office
Lab Director DR. KERRY C. LATCH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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