28D2056578 CLIA NUMBER - GRAND ISLAND OPTICAL

Laboratory Demographics

  • CLIA Code: 28D2056578
  • Facility Name: GRAND ISLAND OPTICAL
  • Facility Address: 420 NORTH DIERS AVENUE
    GRAND ISLAND, NE
    ZIP 68803
  • Facility Phone: (308) 384-0220
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DAWN M. LANGFORD
  • NPI Number: 1891771051
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 28D2056578
LAB Type Physician Office
Facility Name GRAND ISLAND OPTICAL
Street 420 NORTH DIERS AVENUE
City GRAND ISLAND
State NE
ZIP 68803
Phone 3083840220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2025
Certificate Expiration Date 3/28/2027
Facility Type Physician Office
Lab Director DR. DAWN M. LANGFORD

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This page was last updated on: 5/18/2026