43D0682339 CLIA NUMBER - PIONEER MEMORIAL HOSPITAL

Laboratory Demographics

CLIA Number: 43D0682339

Facility Name: PIONEER MEMORIAL HOSPITAL

Facility Address:
315 N WASHINGTON ST PO BOX 368
VIBORG, SD
ZIP 57070
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Facility Phone Number: 605 326-5161

Facility Type: Hospital

Certificate Type: Certificate of Compliance

NPI Number: 1912057274

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	43D0682339
LAB Type	Hospital
Facility Name	PIONEER MEMORIAL HOSPITAL
Street	315 N WASHINGTON ST PO BOX 368
City	VIBORG
State	SD
ZIP	57070
Phone	605 326-5161
CertificateType	2
CertificateEffectiveDate	5/12/2023
CertificateExpirationDate	5/11/2025
FacilityType	Compliance

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