06D2174466 CLIA NUMBER - JD WIDEMAN, DO, PC DBA - JANE & JAYNE

Laboratory Demographics

  • CLIA Code: 06D2174466
  • Facility Name: JD WIDEMAN, DO, PC DBA - JANE & JAYNE
  • Facility Address: 324 E OAK ST
    FORT COLLINS, CO
    ZIP 80526
  • Facility Phone: 970 400-7066
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JD WIDEMAN
  • NPI Number: 1083817373
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 06D2174466
LAB Type Physician Office
Facility Name JD WIDEMAN, DO, PC DBA - JANE & JAYNE
Street 324 E OAK ST
City FORT COLLINS
State CO
ZIP 80526
Phone 970 400-7066
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director DR. JD WIDEMAN

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