43D0684125 CLIA NUMBER - WILMOT CARE CENTER INC

Laboratory Demographics

  • CLIA Code: 43D0684125
  • Facility Name: WILMOT CARE CENTER INC
  • Facility Address: 501 4TH STREET
    WILMOT, SD
    ZIP 57279
  • Facility Phone: 605 938-4418
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MISTI BROYLES
  • NPI Number: 1770586604
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 43D0684125
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WILMOT CARE CENTER INC
Street 501 4TH STREET
City WILMOT
State SD
ZIP 57279
Phone 605 938-4418
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 MISTI BROYLES

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