43D2078031 CLIA NUMBER - MILBANK EYECARE CENTER

Laboratory Demographics

  • CLIA Code: 43D2078031
  • Facility Name: MILBANK EYECARE CENTER
  • Facility Address: 224 S MAIN STREET
    MILBANK, SD
    ZIP 57252
  • Facility Phone: 605 432-6666
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NICHOLAS GILMORE
  • NPI Number: 1578747143
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 43D2078031
LAB Type Physician Office
Facility Name MILBANK EYECARE CENTER
Street 224 S MAIN STREET
City MILBANK
State SD
ZIP 57252
Phone 605 432-6666
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2024
Certificate Expiration Date 5/19/2026
Facility Type Physician Office
Lab Director NICHOLAS GILMORE

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