43D0041496 CLIA NUMBER - AVERA PRINCE OF PEACE RETIREMENT COMMUNITY

Laboratory Demographics

  • CLIA Code: 43D0041496
  • Facility Name: AVERA PRINCE OF PEACE RETIREMENT COMMUNITY
  • Facility Address: 4513 PRINCE OF PEACE PLACE
    SIOUX FALLS, SD
    ZIP 57103
  • Facility Phone: 605 322-5617
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ALICE RONK
  • NPI Number: 1508854340
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 43D0041496
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name AVERA PRINCE OF PEACE RETIREMENT COMMUNITY
Street 4513 PRINCE OF PEACE PLACE
City SIOUX FALLS
State SD
ZIP 57103
Phone 605 322-5617
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ALICE RONK

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This page was last updated on: 6/4/2025