43D0407825 CLIA NUMBER - CHEYENNE RIVER HEALTH CENTER

Laboratory Demographics

CLIA Number: 43D0407825

Facility Name: CHEYENNE RIVER HEALTH CENTER

Facility Address:
24276 166TH STREET, AIRPORT RD
EAGLE BUTTE, SD
ZIP 57625
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Facility Phone Number: 605 964-0638

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1104068428

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	43D0407825
LAB Type	Hospital
Facility Name	CHEYENNE RIVER HEALTH CENTER
Street	24276 166TH STREET, AIRPORT RD
City	EAGLE BUTTE
State	SD
ZIP	57625
Phone	605 964-0638
CertificateType	1
CertificateEffectiveDate	7/26/2022
CertificateExpirationDate	7/25/2024
FacilityType	Accreditation

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This page was last updated on: 4/23/2024