43D0690469 CLIA NUMBER - AVERA MARYHOUSE LONG TERM CARE

Laboratory Demographics

  • CLIA Code: 43D0690469
  • Facility Name: AVERA MARYHOUSE LONG TERM CARE
  • Facility Address: 717 E DAKOTA
    PIERRE, SD
    ZIP 57501
  • Facility Phone: 605 224-3457
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ROSE ANDERSON
  • NPI Number: 1063654648
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 43D0690469
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name AVERA MARYHOUSE LONG TERM CARE
Street 717 E DAKOTA
City PIERRE
State SD
ZIP 57501
Phone 605 224-3457
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 ROSE ANDERSON

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