43D0691950 CLIA NUMBER - AVERA MEDICAL GROUP WINNER

Laboratory Demographics

  • CLIA Code: 43D0691950
  • Facility Name: AVERA MEDICAL GROUP WINNER
  • Facility Address: 660 W 2ND STREET
    WINNER, SD
    ZIP 57580
  • Facility Phone: 605 842-2443
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: ERICA BOLTJES
  • NPI Number: 1912959495
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 43D0691950
LAB Type Physician Office
Facility Name AVERA MEDICAL GROUP WINNER
Street 660 W 2ND STREET
City WINNER
State SD
ZIP 57580
Phone 605 842-2443
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/18/2024
Certificate Expiration Date 2/17/2026
Facility Type Physician Office
Lab Director ERICA BOLTJES

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