43D2315546 CLIA NUMBER - PRAIRIE EYE CLINIC

Laboratory Demographics

  • CLIA Code: 43D2315546
  • Facility Name: PRAIRIE EYE CLINIC
  • Facility Address: 11 SHRINER STREET
    VERMILLION, SD
    ZIP 57069
  • Facility Phone: 605 624-2020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CLARENCE J. VANDERLEI
  • NPI Number: 1831144153
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 43D2315546
LAB Type Physician Office
Facility Name PRAIRIE EYE CLINIC
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 12/16/2024
Certificate Expiration Date 12/15/2026
Facility Type Physician Office
Lab Director CLARENCE J. VANDERLEI

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