43D0406932 CLIA NUMBER - WAKONDA HERITAGE MANOR

Laboratory Demographics

  • CLIA Code: 43D0406932
  • Facility Name: WAKONDA HERITAGE MANOR
  • Facility Address: 515 OHIO STREET
    WAKONDA, SD
    ZIP 57073
  • Facility Phone: 605 267-2081
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TAMIE NIELSON
  • NPI Number: 1003803818
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 43D0406932
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WAKONDA HERITAGE MANOR
Street 515 OHIO STREET
City WAKONDA
State SD
ZIP 57073
Phone 605 267-2081
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 TAMIE NIELSON

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