06D2326810 CLIA NUMBER - SANCTUARY PEDIATRICS

Laboratory Demographics

  • CLIA Code: 06D2326810
  • Facility Name: SANCTUARY PEDIATRICS
  • Facility Address: 11590 RIDGELINE DR SUITE 140
    COLORADO SPRINGS, CO
    ZIP 80921
  • Facility Phone: 719 726-0765
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JESSICA DONALDSON
  • NPI Number: 1255158804
  • Taxonomy: 363LP0200X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 06D2326810
LAB Type Practitioner Other
Facility Name SANCTUARY PEDIATRICS
Street 11590 RIDGELINE DR SUITE 140
City COLORADO SPRINGS
State CO
ZIP 80921
Phone 719 726-0765
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2025
Certificate Expiration Date 7/9/2027
Facility Type Practitioner Other
Lab Director JESSICA DONALDSON

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