28D2059981 CLIA NUMBER - LIFETIME EYECARE, PC

Laboratory Demographics

  • CLIA Code: 28D2059981
  • Facility Name: LIFETIME EYECARE, PC
  • Facility Address: 218 WEST D STREET
    MCCOOK, NE
    ZIP 69001
  • Facility Phone: 308 345-5800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DIRK M. GRAY
  • NPI Number: 1457330433
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 28D2059981
LAB Type Physician Office
Facility Name LIFETIME EYECARE, PC
Street 218 WEST D STREET
City MCCOOK
State NE
ZIP 69001
Phone 308 345-5800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2025
Certificate Expiration Date 6/3/2027
Facility Type Physician Office
Lab Director DR. DIRK M. GRAY

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