06D2101311 CLIA NUMBER - EXECUTIVE PARK EYE CARE, PLLC

Laboratory Demographics

  • CLIA Code: 06D2101311
  • Facility Name: EXECUTIVE PARK EYE CARE, PLLC
  • Facility Address: 9240 EXPLORER DRIVE, SUITE 100
    COLORADO SPRINGS, CO
    ZIP 80920
  • Facility Phone: 719 574-7000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CURTIS W. GALES
  • NPI Number: 1528156734
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 06D2101311
LAB Type Physician Office
Facility Name EXECUTIVE PARK EYE CARE, PLLC
Street 9240 EXPLORER DRIVE, SUITE 100
City COLORADO SPRINGS
State CO
ZIP 80920
Phone 719 574-7000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/31/2025
Certificate Expiration Date 8/30/2027
Facility Type Physician Office
Lab Director CURTIS W. GALES

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