06D2148884 CLIA NUMBER - ADVANCED VISION SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 06D2148884
  • Facility Name: ADVANCED VISION SURGERY CENTER
  • Facility Address: 1390 DRY CREEK DR
    LONGMONT, CO
    ZIP 80503
  • Facility Phone: 303 682-3368
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ANN BAIDA
  • NPI Number: 1972030161
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 06D2148884
LAB Type Ambulatory Surgery Center
Facility Name ADVANCED VISION SURGERY CENTER
Street 1390 DRY CREEK DR
City LONGMONT
State CO
ZIP 80503
Phone 303 682-3368
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2024
Certificate Expiration Date 5/20/2026
Facility Type Ambulatory Surgery Center
Lab Director ANN BAIDA

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