06D2313518 CLIA NUMBER - CORTEZ VISION, PC

Laboratory Demographics

  • CLIA Code: 06D2313518
  • Facility Name: CORTEZ VISION, PC
  • Facility Address: 2423 EAST MAIN ST, SUITE 4
    CORTEZ, CO
    ZIP 81321
  • Facility Phone: 970 565-2020
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: BRYCE D. TANNER
  • NPI Number: 1992868194
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 06D2313518
LAB Type Practitioner Other
Facility Name CORTEZ VISION, PC
Street 2423 EAST MAIN ST, SUITE 4
City CORTEZ
State CO
ZIP 81321
Phone 970 565-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2024
Certificate Expiration Date 10/31/2026
Facility Type Practitioner Other
Lab Director BRYCE D. TANNER

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