06D2201874 CLIA NUMBER - UCHEALTH IMAGING - GRANDVIEW MOB

Laboratory Demographics

  • CLIA Code: 06D2201874
  • Facility Name: UCHEALTH IMAGING - GRANDVIEW MOB
  • Facility Address: 5818 N NEVADA AVE STE 100
    COLORADO SPRINGS, CO
    ZIP 80918
  • Facility Phone: 719 365-7480
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MATTHEW A. LOWERY
  • NPI Number: 1063011096
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 06D2201874
LAB Type Physician Office
Facility Name UCHEALTH IMAGING - GRANDVIEW MOB
Street 5818 N NEVADA AVE STE 100
City COLORADO SPRINGS
State CO
ZIP 80918
Phone 719 365-7480
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/24/2024
Certificate Expiration Date 11/23/2026
Facility Type Physician Office
Lab Director DR. MATTHEW A. LOWERY

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