43D0406882 CLIA NUMBER - TIESZEN MEMORIAL HOME INC

Laboratory Demographics

  • CLIA Code: 43D0406882
  • Facility Name: TIESZEN MEMORIAL HOME INC
  • Facility Address: 312 E STATE ST
    MARION, SD
    ZIP 57043
  • Facility Phone: 605 648-3611
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CAROLINE K. ANDERSEN
  • NPI Number: 1083693584
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 43D0406882
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name TIESZEN MEMORIAL HOME INC
Street 312 E STATE ST
City MARION
State SD
ZIP 57043
Phone 605 648-3611
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 CAROLINE K. ANDERSEN

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