06D2302394 CLIA NUMBER - EVERGREEN EYECARE PC

Laboratory Demographics

  • CLIA Code: 06D2302394
  • Facility Name: EVERGREEN EYECARE PC
  • Facility Address: 1265 SERGEANTJON STILESDR
    HIGHLANDS RANCH, CO
    ZIP 80129
  • Facility Phone: 303 791-1984
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: THANH LE
  • NPI Number: 1962252130
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 06D2302394
LAB Type Practitioner Other
Facility Name EVERGREEN EYECARE PC
Street 1265 SERGEANTJON STILESDR
City HIGHLANDS RANCH
State CO
ZIP 80129
Phone 303 791-1984
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/10/2024
Certificate Expiration Date 4/9/2026
Facility Type Practitioner Other
Lab Director THANH LE

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