06D1048106 CLIA NUMBER - EYE CENTER OF NORTHERN COLORADO

Laboratory Demographics

  • CLIA Code: 06D1048106
  • Facility Name: EYE CENTER OF NORTHERN COLORADO
  • Facility Address: 3151 PRECISION DR
    FORT COLLINS, CO
    ZIP 80528
  • Facility Phone: 970 221-2222
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: TRACIE L. KASUBICK
  • NPI Number: 1245795533
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 06D1048106
LAB Type Ambulatory Surgery Center
Facility Name EYE CENTER OF NORTHERN COLORADO
Street 3151 PRECISION DR
City FORT COLLINS
State CO
ZIP 80528
Phone 970 221-2222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2023
Certificate Expiration Date 11/20/2025
Facility Type Ambulatory Surgery Center
Lab Director TRACIE L. KASUBICK

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This page was last updated on: 3/20/2025