43D0407291 CLIA NUMBER - SANFORD HEALTH WATERTOWN CLINIC

Laboratory Demographics

  • CLIA Code: 43D0407291
  • Facility Name: SANFORD HEALTH WATERTOWN CLINIC
  • Facility Address: 901 4TH STREET NORTHWEST
    WATERTOWN, SD
    ZIP 57201
  • Facility Phone: 605 886-8471
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PASTEL A. FLIGGE
  • NPI Number: 1588322515
  • Taxonomy: 261QC1500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 43D0407291
LAB Type Physician Office
Facility Name SANFORD HEALTH WATERTOWN CLINIC
Street 901 4TH STREET NORTHWEST
City WATERTOWN
State SD
ZIP 57201
Phone 605 886-8471
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2024
Certificate Expiration Date 6/30/2026
Facility Type Physician Office
Lab Director PASTEL A. FLIGGE

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