06D2315778 CLIA NUMBER - SPRING GROVE RECOVERY

Laboratory Demographics

  • CLIA Code: 06D2315778
  • Facility Name: SPRING GROVE RECOVERY
  • Facility Address: 4145 BRIARGATE PARKWAY
    COLORADO SPRINGS, CO
    ZIP 80920
  • Facility Phone: 719 421-9458
  • Facility Type: Other - MEDICAL DETOX RESIDENT
  • Facility Type: Waiver
  • Lab Director: SARA HALLORAN
  • NPI Number: 1619791944
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 06D2315778
LAB Type Other - MEDICAL DETOX RESIDENT
Facility Name SPRING GROVE RECOVERY
Street 4145 BRIARGATE PARKWAY
City COLORADO SPRINGS
State CO
ZIP 80920
Phone 719 421-9458
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2024
Certificate Expiration Date 12/18/2026
Facility Type Other - MEDICAL DETOX RESIDENT
Lab Director SARA HALLORAN

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