06D2291143 CLIA NUMBER - FLYWELL HEALTH LLC

Laboratory Demographics

  • CLIA Code: 06D2291143
  • Facility Name: FLYWELL HEALTH LLC
  • Facility Address: 6140 TUTT BLVD, SUITE 120
    COLORADO SPRINGS, CO
    ZIP 80923
  • Facility Phone: 719 888-5181
  • Facility Type: Other - PAIN CLINIC
  • Facility Type: Waiver
  • Lab Director: PATRICE D. KIESLING
  • NPI Number: 1386327526
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 06D2291143
LAB Type Other - PAIN CLINIC
Facility Name FLYWELL HEALTH LLC
Street 6140 TUTT BLVD, SUITE 120
City COLORADO SPRINGS
State CO
ZIP 80923
Phone 719 888-5181
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2025
Certificate Expiration Date 10/4/2027
Facility Type Other - PAIN CLINIC
Lab Director PATRICE D. KIESLING

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