06D2312169 CLIA NUMBER - LAKEFRONT EYE CARE

Laboratory Demographics

  • CLIA Code: 06D2312169
  • Facility Name: LAKEFRONT EYE CARE
  • Facility Address: 1931 N SHERIDAN BLVD, STE S
    EDGEWATER, CO
    ZIP 80214
  • Facility Phone: 303 578-8055
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JILL M. BERT
  • NPI Number: 1003292954
  • Taxonomy: 152WC0802X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 06D2312169
LAB Type Practitioner Other
Facility Name LAKEFRONT EYE CARE
Street 1931 N SHERIDAN BLVD, STE S
City EDGEWATER
State CO
ZIP 80214
Phone 303 578-8055
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2024
Certificate Expiration Date 10/3/2026
Facility Type Practitioner Other
Lab Director JILL M. BERT

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