65D2115375 CLIA NUMBER - ADVANCED EYECARE LLC, DBA LOMBARD HEALTH

Laboratory Demographics

  • CLIA Code: 65D2115375
  • Facility Name: ADVANCED EYECARE LLC, DBA LOMBARD HEALTH
  • Facility Address: 736 ROUTE 4 STE 103A
    SINAJANA, GU
    ZIP 96910
  • Facility Phone: 671 989-4747
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. PETER LOMBARD
  • NPI Number: 1376931329
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 65D2115375
LAB Type Physician Office
Facility Name ADVANCED EYECARE LLC, DBA LOMBARD HEALTH
Street 736 ROUTE 4 STE 103A
City SINAJANA
State GU
ZIP 96910
Phone 671 989-4747
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2024
Certificate Expiration Date 7/5/2026
Facility Type Physician Office
Lab Director DR. PETER LOMBARD

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