06D2228237 CLIA NUMBER - MACKENZIE PLACE - COLORADO SPRINGS

Laboratory Demographics

  • CLIA Code: 06D2228237
  • Facility Name: MACKENZIE PLACE - COLORADO SPRINGS
  • Facility Address: 1655 ELM CREEK VIEW
    COLORADO SPRINGS, CO
    ZIP 80907
  • Facility Phone: 206 436-7827
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KRISTI R. GRAHAM
  • NPI Number: 1154041473
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 06D2228237
LAB Type Assisted Living Facility
Facility Name MACKENZIE PLACE - COLORADO SPRINGS
Street 1655 ELM CREEK VIEW
City COLORADO SPRINGS
State CO
ZIP 80907
Phone 206 436-7827
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/23/2025
Certificate Expiration Date 6/22/2027
Facility Type Assisted Living Facility
Lab Director KRISTI R. GRAHAM

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