13D2067514 CLIA NUMBER - LIFETIME OPTOMETRY

Laboratory Demographics

  • CLIA Code: 13D2067514
  • Facility Name: LIFETIME OPTOMETRY
  • Facility Address: 10454 OVERLAND RD
    BOISE, ID
    ZIP 83709
  • Facility Phone: 208 672-1370
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: RICHARD C. MURRAY OD
  • NPI Number: 1083819080
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 13D2067514
LAB Type Practitioner Other
Facility Name LIFETIME OPTOMETRY
Street 10454 OVERLAND RD
City BOISE
State ID
ZIP 83709
Phone 208 672-1370
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2024
Certificate Expiration Date 9/16/2026
Facility Type Practitioner Other
Lab Director RICHARD C. MURRAY OD

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