43D2111326 CLIA NUMBER - AVERA MEDICAL GROUP WILLCOCKSON EYE ASSOCIATES PC

Laboratory Demographics

  • CLIA Code: 43D2111326
  • Facility Name: AVERA MEDICAL GROUP WILLCOCKSON EYE ASSOCIATES PC
  • Facility Address: 415 WEST 3RD STREET
    YANKTON, SD
    ZIP 57078
  • Facility Phone: 605 665-9638
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HAILEY SCHELLING
  • NPI Number: 1992802920
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 43D2111326
LAB Type Physician Office
Facility Name AVERA MEDICAL GROUP WILLCOCKSON EYE ASSOCIATES PC
Street 415 WEST 3RD STREET
City YANKTON
State SD
ZIP 57078
Phone 605 665-9638
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2024
Certificate Expiration Date 4/4/2026
Facility Type Physician Office
Lab Director HAILEY SCHELLING

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