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Centennial State Lab, Llc
Clinical Medical Laboratory in Colorado Springs, Colorado
NPI 1649829987

Centennial State Lab, Llc is a Clinical Medical Laboratory based in Springfield, CO. Centennial State Lab, Llc practices in Colorado Springs, CO. The NPI Number for Centennial State Lab, Llc is 1649829987 and holds a License No. (Colorado).

The current practice location address for Centennial State Lab, Llc is 4775 Centennial Blvd Ste 120, Colorado Springs, CO and can be reached out via phone at 719-284-3522. You can also correspond with Centennial State Lab, Llc through the mailing address at PO BOX 15351, SPRINGFIELD, MA - 01115-5351 (mailing address contact number: ).

Location: 4775 Centennial Blvd Ste 120, Colorado Springs, CO, 01115-5351
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649829987
Provider Name
Centennial State Lab, Llc
Credential
Provider Entity Type
Organization
Address
4775 Centennial Blvd Ste 120, Colorado Springs, CO, 01115-5351
Phone Number
719-284-3522
Fax Number
Provider Enumeration Date
09/10/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
872314 01 CO MEDICARE
institution
Provider Business Practice Location Address Details
Address
4775 Centennial Blvd Ste 120
City
Colorado Springs
State
Colorado
Zip
80919-3309
Phone Number
719-284-3522
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 15351
City
Springfield
State
Massachusetts
Zip
01115-5351
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Laboratories
Classification
Clinical Medical Laboratory
Speciality
-
Taxonomy
291U00000X
License No.
()
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
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