06D2228396 CLIA NUMBER - CHEYENNE VILLAGE, INC

Laboratory Demographics

CLIA Number: 06D2228396

Facility Name: CHEYENNE VILLAGE, INC

Facility Address:
6275 LEHMAN DR
COLORADO SPRINGS, CO
ZIP 80918
Get Directions

Facility Phone Number: 719 592-0200

Facility Type: Intermediate Care Facility for Mentally Retarded

Certificate Type: Waiver

NPI Number: 1821127861

Taxonomy: 311ZA0620X - Custodial Care Facility
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

CLIA Record

Field Name	Field Value
CLIA Number	06D2228396
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	CHEYENNE VILLAGE, INC
Street	6275 LEHMAN DR
City	COLORADO SPRINGS
State	CO
ZIP	80918
Phone	719 592-0200
CertificateType	4
CertificateEffectiveDate	6/25/2023
CertificateExpirationDate	6/24/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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