43D0406754 CLIA NUMBER - AVERA MEDICAL GROUP MCGREEVY BRANDON

Laboratory Demographics

  • CLIA Code: 43D0406754
  • Facility Name: AVERA MEDICAL GROUP MCGREEVY BRANDON
  • Facility Address: 1101 EAST HOLLY BLVD
    BRANDON, SD
    ZIP 57005
  • Facility Phone: 605 504-5204
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: DR. MICHELLE J. BLEILE
  • NPI Number: 1285701870
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 43D0406754
LAB Type Community Clinic
Facility Name AVERA MEDICAL GROUP MCGREEVY BRANDON
Street 1101 EAST HOLLY BLVD
City BRANDON
State SD
ZIP 57005
Phone 605 504-5204
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 3/20/2025
Certificate Expiration Date 3/19/2027
Facility Type Community Clinic
Lab Director DR. MICHELLE J. BLEILE

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