43D2087098 CLIA NUMBER - PRAIRIE EYE CLINIC BROWN OPTOMETRIC CLINIC PC

Laboratory Demographics

  • CLIA Code: 43D2087098
  • Facility Name: PRAIRIE EYE CLINIC BROWN OPTOMETRIC CLINIC PC
  • Facility Address: 11 SHRINER STREET
    VERMILLION, SD
    ZIP 57069
  • Facility Phone: 605 624-2020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEVIN BROWN
  • NPI Number: 1255819140
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 43D2087098
LAB Type Physician Office
Facility Name PRAIRIE EYE CLINIC BROWN OPTOMETRIC CLINIC PC
Street 11 SHRINER STREET
City VERMILLION
State SD
ZIP 57069
Phone 605 624-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2024
Certificate Expiration Date 11/17/2026
Facility Type Physician Office
Lab Director KEVIN BROWN

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