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LAKESIDE YOUTH N KIDS PEDIATRICS
NPI 1275903833
Clinic/Center - Primary Care in Wheat Ridge, CO

Active since September 25, 2015CLIA 06D2105311 · Waiver
6055 W 46TH AVE, WHEAT RIDGE, CO 80033(916) 300-7534 Get Directions Write a Review

NPPES record last updated: September 25, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lakeside Youth N Kids Pediatrics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKESIDE YOUTH N KIDS PEDIATRICS (NPI 1275903833) is a healthcare organization registered as a primary care in Wheat Ridge, Colorado and active in the NPI registry since September 2015. The organization holds a CLIA Waiver certificate valid through November 22, 2027 and lists Lance Jesse Lazatin, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1275903833
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameLAKESIDE YOUTH N KIDS PEDIATRICS
Location Address6055 W 46TH AVEWheat Ridge, CO 80033-1811
Mailing Address6055 W 46th AveWheat Ridge, CO 80033-1811 · (916) 300-7534
Phone(916) 300-7534
Organization SubpartNo
Authorized OfficialLance Jesse LazatinPhysician/owner · (916) 300-7534
Enumeration DateSeptember 25, 2015
✔ NPI 1275903833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in CO · 50291
6055 W 46TH AVE, Wheat Ridge, CO 80033
Open in Google Maps ↗

Other Identifiers 1

Medicaid63008564CO

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D2105311

Lakeside Youth N Kids Pediatrics · Wheat Ridge, CO
Active · expires Nov 22, 2027
CLIA Number06D2105311
Laboratory TypePhysician Office
Certificate Effective DateNovember 23, 2025
Certificate Expiration DateNovember 22, 2027
Laboratory DirectorLance J. Lazatin
Laboratory Phone(303) 868-6872
Laboratory LocationLakeside Youth N Kids Pediatrics6055 W 46th Ave Ste A, Wheat Ridge, CO 80033
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LANCE J LAZATIN M.D.
Pediatrics
6055 W 46TH AVE, SUITE A
WHEAT RIDGE, CO 80033
Jefferson County (303) 423-8017
DR. RONALD LEROY SWEET DDS
Dentist
6055 W 46TH AVE
WHEAT RIDGE, CO 80033
Jefferson County (303) 420-3445
MS. SANDRA JEANNE SYMES-GILBERT NP
Nurse Practitioner (Pediatrics)
6055 W 46TH AVE
WHEAT RIDGE, CO 80033
Jefferson County (303) 423-8017
AMY B. LANNIGAN M.D.
Pediatrics
6055 W 46TH AVE
WHEAT RIDGE, CO 80033
Jefferson County (303) 423-8017

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakeside Youth N Kids Pediatrics's NPI number?

The NPI number for Lakeside Youth N Kids Pediatrics is 1275903833. It was assigned to this organization in the NPPES registry on September 25, 2015.

Where is Lakeside Youth N Kids Pediatrics located?

Lakeside Youth N Kids Pediatrics is located at 6055 W 46th Ave, Wheat Ridge, CO 80033. The listed phone number is (916) 300-7534.

What is Lakeside Youth N Kids Pediatrics's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Lakeside Youth N Kids Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2105311) is associated with this NPI, valid through November 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lakeside Youth N Kids Pediatrics was last updated on September 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.