28D2067413 CLIA NUMBER - SUTTON VISION CENTER

Laboratory Demographics

  • CLIA Code: 28D2067413
  • Facility Name: SUTTON VISION CENTER
  • Facility Address: 103 N SAUNDERS AVE
    SUTTON, NE
    ZIP 68979
  • Facility Phone: 402 773-5616
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JESSICA MOORE
  • NPI Number: 1588950869
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 28D2067413
LAB Type Physician Office
Facility Name SUTTON VISION CENTER
Street 103 N SAUNDERS AVE
City SUTTON
State NE
ZIP 68979
Phone 402 773-5616
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2025
Certificate Expiration Date 10/14/2027
Facility Type Physician Office
Lab Director DR. JESSICA MOORE

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