43D0041662 CLIA NUMBER - FIVE COUNTIES NURSING HOME

Laboratory Demographics

  • CLIA Code: 43D0041662
  • Facility Name: FIVE COUNTIES NURSING HOME
  • Facility Address: 405 6TH AVE WEST POST OFFICE BOX 479
    LEMMON, SD
    ZIP 57638
  • Facility Phone: 605 374-3871
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JAY LEA HOURIGAN
  • NPI Number: 1417994526
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 43D0041662
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name FIVE COUNTIES NURSING HOME
Street 405 6TH AVE WEST POST OFFICE BOX 479
City LEMMON
State SD
ZIP 57638
Phone 605 374-3871
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2023
Certificate Expiration Date 10/31/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JAY LEA HOURIGAN

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