43D0407197 CLIA NUMBER - SANFORD OBSTETRICS AND GYNECOLOGY / WOMEN'S PRIMARY CARE CLINICS

Laboratory Demographics

  • CLIA Code: 43D0407197
  • Facility Name: SANFORD OBSTETRICS AND GYNECOLOGY / WOMEN'S PRIMARY CARE CLINICS
  • Facility Address: 1500 WEST 22ND STREET SUITE 301
    SIOUX FALLS, SD
    ZIP 57105
  • Facility Phone: 605 328-7700
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: NICOLE GROSSENBURG
  • NPI Number: 1306869227
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 43D0407197
LAB Type Physician Office
Facility Name SANFORD OBSTETRICS AND GYNECOLOGY / WOMEN'S PRIMARY CARE CLINICS
Street 1500 WEST 22ND STREET SUITE 301
City SIOUX FALLS
State SD
ZIP 57105
Phone 605 328-7700
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director NICOLE GROSSENBURG

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