43D0406799 CLIA NUMBER - ORTMAN CLINIC

Laboratory Demographics

  • CLIA Code: 43D0406799
  • Facility Name: ORTMAN CLINIC
  • Facility Address: 209 W MAIN ST
    CANISTOTA, SD
    ZIP 57012
  • Facility Phone: 605 296-3431
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DANIEL J. NOVAK
  • NPI Number: 1114953130
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 43D0406799
LAB Type Practitioner Other
Facility Name ORTMAN CLINIC
Street 209 W MAIN ST
City CANISTOTA
State SD
ZIP 57012
Phone 605 296-3431
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 Practitioner Other
Lab Director DANIEL J. NOVAK

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