26D2060447 CLIA NUMBER - OPHTHALMOLOGY ASSOCIATES

Laboratory Demographics

  • CLIA Code: 26D2060447
  • Facility Name: OPHTHALMOLOGY ASSOCIATES
  • Facility Address: 965 MATTOX DRIVE
    SULLIVAN, MO
    ZIP 63080
  • Facility Phone: 314 966-5000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT BRUSATTI
  • NPI Number: 1003960980
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 26D2060447
LAB Type Physician Office
Facility Name OPHTHALMOLOGY ASSOCIATES
Street 965 MATTOX DRIVE
City SULLIVAN
State MO
ZIP 63080
Phone 314 966-5000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2024
Certificate Expiration Date 11/30/2026
Facility Type Physician Office
Lab Director ROBERT BRUSATTI

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