CLIA lab
CLIA 06D0881220: Canon Professional Wellness Clinic, LLC
Canon City, CO. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 06D0881220 belongs to Canon Professional Wellness Clinic, LLC in Canon City, CO.
Certificate of Waiver, effective December 10, 2024, expires December 9, 2026.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- December 10, 2024
- Certificate expiration
- December 9, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 6, 1994
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 06D0881220
- Lab name
- Canon Professional Wellness Clinic, LLC
- Address
- 730 Macon Avenue, Canon City, CO 81212
- Phone
- (719) 275-1618
- Fax
- (719) 275-7334
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Canon Professional Wellness Clinic, LLC in Canon City?
06D0881220, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Canon Professional Wellness Clinic, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 06D0881220 expire?
The CMS file lists December 9, 2026 as the certificate expiration date; the certificate took effect December 10, 2024.