43D0682904 CLIA NUMBER - WESKOTA MANOR

Laboratory Demographics

  • CLIA Code: 43D0682904
  • Facility Name: WESKOTA MANOR
  • Facility Address: 608 FIRST STREET NE
    WESSINGTON SPRINGS, SD
    ZIP 57382
  • Facility Phone: (605) 539-1621
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LANCE M. LIM
  • NPI Number: 1811065618
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 43D0682904
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WESKOTA MANOR
Street 608 FIRST STREET NE
City WESSINGTON SPRINGS
State SD
ZIP 57382
Phone 6055391621
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 Skilled Nursing Facility/Nursing Facility
Lab Director LANCE M. LIM

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This page was last updated on: 5/18/2026