28D2057645 CLIA NUMBER - SIGNATURE EYE CARE PC

Laboratory Demographics

  • CLIA Code: 28D2057645
  • Facility Name: SIGNATURE EYE CARE PC
  • Facility Address: 5630 S 84TH STREET, SUITE 120
    LINCOLN, NE
    ZIP 68516
  • Facility Phone: 402 488-2211
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JONATHAN KNUTSON
  • NPI Number: 1962692160
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 28D2057645
LAB Type Physician Office
Facility Name SIGNATURE EYE CARE PC
Street 5630 S 84TH STREET, SUITE 120
City LINCOLN
State NE
ZIP 68516
Phone 402 488-2211
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2025
Certificate Expiration Date 2/4/2027
Facility Type Physician Office
Lab Director DR. JONATHAN KNUTSON

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