06D2228924 CLIA NUMBER - BRAINCARE, LLC - COLUMBINE HOUSE

Laboratory Demographics

  • CLIA Code: 06D2228924
  • Facility Name: BRAINCARE, LLC - COLUMBINE HOUSE
  • Facility Address: 5523 S BUCKSKIN PASS
    COLORADO SPRINGS, CO
    ZIP 80917
  • Facility Phone: 719 332-1365
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: THOMAS STAVES
  • NPI Number: 1336782168
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 06D2228924
LAB Type Assisted Living Facility
Facility Name BRAINCARE, LLC - COLUMBINE HOUSE
Street 5523 S BUCKSKIN PASS
City COLORADO SPRINGS
State CO
ZIP 80917
Phone 719 332-1365
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/2/2025
Certificate Expiration Date 7/1/2027
Facility Type Assisted Living Facility
Lab Director THOMAS STAVES

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