53D2176120 CLIA NUMBER - BLACK HILLS REGIONAL EYE INSTITUTE LLP

Laboratory Demographics

CLIA Number: 53D2176120

Facility Name: BLACK HILLS REGIONAL EYE INSTITUTE LLP

Facility Address:
3100 WEST LAKEWAY RD, STE 2
GILLETTE, WY
ZIP 82718
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Facility Phone Number: 605 341-2000

Facility Type: Other - OPHTHALMOLGY & OPTOMETRY

Certificate Type: Waiver

NPI Number: 1043778103

Taxonomy: 207W00000X - Ophthalmology
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

CLIA Record

Field Name	Field Value
CLIA Number	53D2176120
LAB Type	Other - OPHTHALMOLGY & OPTOMETRY
Facility Name	BLACK HILLS REGIONAL EYE INSTITUTE LLP
Street	3100 WEST LAKEWAY RD, STE 2
City	GILLETTE
State	WY
ZIP	82718
Phone	605 341-2000
CertificateType	4
CertificateEffectiveDate	12/9/2023
CertificateExpirationDate	12/8/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024