43D0406835 CLIA NUMBER - AVERA MEDICAL GROUP FLANDREAU

Laboratory Demographics

  • CLIA Code: 43D0406835
  • Facility Name: AVERA MEDICAL GROUP FLANDREAU
  • Facility Address: 212 NORTH PRAIRIE STREET
    FLANDREAU, SD
    ZIP 57028
  • Facility Phone: 605 997-2471
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: SCOTT PETERSON MD
  • NPI Number: 1760560452
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 43D0406835
LAB Type Community Clinic
Facility Name AVERA MEDICAL GROUP FLANDREAU
Street 212 NORTH PRAIRIE STREET
City FLANDREAU
State SD
ZIP 57028
Phone 605 997-2471
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/20/2025
Certificate Expiration Date 10/19/2027
Facility Type Community Clinic
Lab Director SCOTT PETERSON MD

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