43D0658955 CLIA NUMBER - CAMPBELL COUNTY CLINIC

Laboratory Demographics

  • CLIA Code: 43D0658955
  • Facility Name: CAMPBELL COUNTY CLINIC
  • Facility Address: 208 MAIN STREET NORTH
    HERREID, SD
    ZIP 57632
  • Facility Phone: 605 437-2304
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: TONY LOGGINS
  • NPI Number: 1114935012
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 43D0658955
LAB Type Rural Health Clinic
Facility Name CAMPBELL COUNTY CLINIC
Street 208 MAIN STREET NORTH
City HERREID
State SD
ZIP 57632
Phone 605 437-2304
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Rural Health Clinic
Lab Director TONY LOGGINS

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