43D2156796 CLIA NUMBER - INFINITY EYECARE PC

Laboratory Demographics

  • CLIA Code: 43D2156796
  • Facility Name: INFINITY EYECARE PC
  • Facility Address: 5734 SHERIDAN LAKE RD SUITE 202
    RAPID CITY, SD
    ZIP 57702
  • Facility Phone: 605 342-0258
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHANE CLARK
  • NPI Number: 1306202700
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 43D2156796
LAB Type Physician Office
Facility Name INFINITY EYECARE PC
Street 5734 SHERIDAN LAKE RD SUITE 202
City RAPID CITY
State SD
ZIP 57702
Phone 605 342-0258
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2024
Certificate Expiration Date 10/24/2026
Facility Type Physician Office
Lab Director SHANE CLARK

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