43D0406905 CLIA NUMBER - ST MICHAEL'S HOSPITAL - AVERA

Laboratory Demographics

  • CLIA Code: 43D0406905
  • Facility Name: ST MICHAEL'S HOSPITAL - AVERA
  • Facility Address: 410 WEST 16TH AVENUE
    TYNDALL, SD
    ZIP 57066
  • Facility Phone: 605 589-3341
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. MATTHEW JOHNSON
  • NPI Number: 1730123522
  • Taxonomy: 282NC0060X - General Acute Care Hospital

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 43D0406905
LAB Type Hospital
Facility Name ST MICHAEL'S HOSPITAL - AVERA
Street 410 WEST 16TH AVENUE
City TYNDALL
State SD
ZIP 57066
Phone 605 589-3341
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 4/10/2025
Certificate Expiration Date 4/9/2027
Facility Type Hospital
Lab Director DR. MATTHEW JOHNSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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