06D2265108 CLIA NUMBER - ROCKY MOUNTAIN CLINIC - COLORADO SPRINGS

Laboratory Demographics

  • CLIA Code: 06D2265108
  • Facility Name: ROCKY MOUNTAIN CLINIC - COLORADO SPRINGS
  • Facility Address: 1861 AUSTIN BLUFFS PARKWAY
    COLORADO SPRINGS, CO
    ZIP 80907
  • Facility Phone: 719 419-7735
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CLARK S. MCCOY
  • NPI Number: 1538755095
  • Taxonomy: 207QA0401X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 06D2265108
LAB Type Physician Office
Facility Name ROCKY MOUNTAIN CLINIC - COLORADO SPRINGS
Street 1861 AUSTIN BLUFFS PARKWAY
City COLORADO SPRINGS
State CO
ZIP 80907
Phone 719 419-7735
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. CLARK S. MCCOY

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