43D0689062 CLIA NUMBER - BETHANY LUTHERN HOME

Laboratory Demographics

  • CLIA Code: 43D0689062
  • Facility Name: BETHANY LUTHERN HOME
  • Facility Address: 1901 SOUTH HOLLY AVENUE
    SIOUX FALLS, SD
    ZIP 57105
  • Facility Phone: 605 338-2351
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DANIEL HEINEMANN
  • NPI Number: 1023063856
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 43D0689062
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BETHANY LUTHERN HOME
Street 1901 SOUTH HOLLY AVENUE
City SIOUX FALLS
State SD
ZIP 57105
Phone 605 338-2351
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 DANIEL HEINEMANN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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