05D2173099 CLIA NUMBER - SIERRA EYECARE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 05D2173099
  • Facility Name: SIERRA EYECARE ASSOCIATES
  • Facility Address: 817 COURT STREET, #10
    JACKSON, CA
    ZIP 95642
  • Facility Phone: 209 223-2020
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: RICHARD H. VAN BUSKIRK
  • NPI Number: 1699854158
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 05D2173099
LAB Type Practitioner Other
Facility Name SIERRA EYECARE ASSOCIATES
Street 817 COURT STREET, #10
City JACKSON
State CA
ZIP 95642
Phone 209 223-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2025
Certificate Expiration Date 10/3/2027
Facility Type Practitioner Other
Lab Director RICHARD H. VAN BUSKIRK

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