43D0407155 CLIA NUMBER - SANFORD CLINIC 69TH MINNESOTA FAMILY MEDICINE CLINIC

Laboratory Demographics

  • CLIA Code: 43D0407155
  • Facility Name: SANFORD CLINIC 69TH MINNESOTA FAMILY MEDICINE CLINIC
  • Facility Address: 6110 SOUTH MINNESOTA AVE
    SIOUX FALLS, SD
    ZIP 57108
  • Facility Phone: 605 328-5800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KAYLA NORENBERG
  • NPI Number: 1487840237
  • Taxonomy: 2085R0202X - Radiology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 43D0407155
LAB Type Physician Office
Facility Name SANFORD CLINIC 69TH MINNESOTA FAMILY MEDICINE CLINIC
Street 6110 SOUTH MINNESOTA AVE
City SIOUX FALLS
State SD
ZIP 57108
Phone 605 328-5800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2025
Certificate Expiration Date 6/7/2027
Facility Type Physician Office
Lab Director KAYLA NORENBERG

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