43D0407296 CLIA NUMBER - BROWN CLINIC-MAIN

Laboratory Demographics

  • CLIA Code: 43D0407296
  • Facility Name: BROWN CLINIC-MAIN
  • Facility Address: 506 1ST AVE SOUTHEAST
    WATERTOWN, SD
    ZIP 57201
  • Facility Phone: 605 882-7757
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: FARAH HAQUE MD FCAP
  • NPI Number: 1083779821
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 43D0407296
LAB Type Ancillary Testing Site in Health Care Center
Facility Name BROWN CLINIC-MAIN
Street 506 1ST AVE SOUTHEAST
City WATERTOWN
State SD
ZIP 57201
Phone 605 882-7757
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2025
Certificate Expiration Date 10/6/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director FARAH HAQUE MD FCAP

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