43D0673527 CLIA NUMBER - BONHOMME FAMILY PRACTICE CERTIFIED RURAL HEALTH

Laboratory Demographics

  • CLIA Code: 43D0673527
  • Facility Name: BONHOMME FAMILY PRACTICE CERTIFIED RURAL HEALTH
  • Facility Address: 410 WEST 16TH AVENUE
    TYNDALL, SD
    ZIP 57066
  • Facility Phone: 605 589-3322
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: MELVIN WALLINGA
  • NPI Number: 1730329665
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 43D0673527
LAB Type Rural Health Clinic
Facility Name BONHOMME FAMILY PRACTICE CERTIFIED RURAL HEALTH
Street 410 WEST 16TH AVENUE
City TYNDALL
State SD
ZIP 57066
Phone 605 589-3322
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 MELVIN WALLINGA

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