10D2284846 CLIA NUMBER - COLUMBIA EYE ASSOCIATES PA

Laboratory Demographics

  • CLIA Code: 10D2284846
  • Facility Name: COLUMBIA EYE ASSOCIATES PA
  • Facility Address: 1615 SW MAIN BLVD
    LAKE CITY, FL
    ZIP 32025
  • Facility Phone: (386) 755-2785
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KARL D. BODENDORFER
  • NPI Number: 1295921096
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 10D2284846
LAB Type Physician Office
Facility Name COLUMBIA EYE ASSOCIATES PA
Street 1615 SW MAIN BLVD
City LAKE CITY
State FL
ZIP 32025
Phone 3867552785
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2025
Certificate Expiration Date 6/28/2027
Facility Type Physician Office
Lab Director KARL D. BODENDORFER

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This page was last updated on: 6/29/2026