06D2317546 CLIA NUMBER - PINNACLE ADVANCED PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 06D2317546
  • Facility Name: PINNACLE ADVANCED PRIMARY CARE
  • Facility Address: 595 CHAPEL HILLS DR, SUITE 220
    COLORADO SPRINGS, CO
    ZIP 80920
  • Facility Phone: 719 465-1579
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHEYENNE LACKEY
  • NPI Number: 1619644192
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 06D2317546
LAB Type Physician Office
Facility Name PINNACLE ADVANCED PRIMARY CARE
Street 595 CHAPEL HILLS DR, SUITE 220
City COLORADO SPRINGS
State CO
ZIP 80920
Phone 719 465-1579
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2025
Certificate Expiration Date 1/26/2027
Facility Type Physician Office
Lab Director CHEYENNE LACKEY

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