43D0407166 CLIA NUMBER - SANFORD INTERNAL MEDICINE CLINIC

Laboratory Demographics

  • CLIA Code: 43D0407166
  • Facility Name: SANFORD INTERNAL MEDICINE CLINIC
  • Facility Address: 1321 WEST 22ND STREET ATTEN KAYLEE SHOENFELDER
    SIOUX FALLS, SD
    ZIP 57105
  • Facility Phone: 605 404-4000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK LOUNSBERY
  • NPI Number: 1821011768
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 43D0407166
LAB Type Physician Office
Facility Name SANFORD INTERNAL MEDICINE CLINIC
Street 1321 WEST 22ND STREET ATTEN KAYLEE SHOENFELDER
City SIOUX FALLS
State SD
ZIP 57105
Phone 605 404-4000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2024
Certificate Expiration Date 11/12/2026
Facility Type Physician Office
Lab Director MARK LOUNSBERY

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