06D2265087 CLIA NUMBER - SUMMIT PRIMARY CARE - COLORADO SPRINGS

Laboratory Demographics

  • CLIA Code: 06D2265087
  • Facility Name: SUMMIT PRIMARY CARE - COLORADO SPRINGS
  • Facility Address: 75 PRINTERS PARKWAY, SUITE 200
    COLORADO SPRINGS, CO
    ZIP 80910
  • Facility Phone: 719 300-8433
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. LAWRENCE S. WILNER
  • NPI Number: 1285256818
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 06D2265087
LAB Type Physician Office
Facility Name SUMMIT PRIMARY CARE - COLORADO SPRINGS
Street 75 PRINTERS PARKWAY, SUITE 200
City COLORADO SPRINGS
State CO
ZIP 80910
Phone 719 300-8433
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2024
Certificate Expiration Date 7/21/2026
Facility Type Physician Office
Lab Director DR. LAWRENCE S. WILNER

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