04D2144965 CLIA NUMBER - LASTER EYE CENTER DR SHANE F LASTER PA

Laboratory Demographics

  • CLIA Code: 04D2144965
  • Facility Name: LASTER EYE CENTER DR SHANE F LASTER PA
  • Facility Address: 8500 S 36TH TERRACE
    FORT SMITH, AR
    ZIP 72908
  • Facility Phone: 479 242-2020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SHANE F. LASTER
  • NPI Number: 1912415563
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 04D2144965
LAB Type Physician Office
Facility Name LASTER EYE CENTER DR SHANE F LASTER PA
Street 8500 S 36TH TERRACE
City FORT SMITH
State AR
ZIP 72908
Phone 479 242-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2024
Certificate Expiration Date 2/26/2026
Facility Type Physician Office
Lab Director DR. SHANE F. LASTER

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