06D2251701 CLIA NUMBER - MOUNTAIN RIDGE HOSPICE LLC

Laboratory Demographics

  • CLIA Code: 06D2251701
  • Facility Name: MOUNTAIN RIDGE HOSPICE LLC
  • Facility Address: 3204 N ACADEMY STE 110
    COLORADO SPRINGS, CO
    ZIP 80917
  • Facility Phone: 719 418-3475
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: SUSANA MOLINA
  • NPI Number: 1598136608
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 06D2251701
LAB Type Hospice
Facility Name MOUNTAIN RIDGE HOSPICE LLC
Street 3204 N ACADEMY STE 110
City COLORADO SPRINGS
State CO
ZIP 80917
Phone 719 418-3475
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2024
Certificate Expiration Date 2/3/2026
Facility Type Hospice
Lab Director SUSANA MOLINA

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