43D0875329 CLIA NUMBER - PENNINGTON COUNTY JAIL

Laboratory Demographics

  • CLIA Code: 43D0875329
  • Facility Name: PENNINGTON COUNTY JAIL
  • Facility Address: 307 ST JOSEPH STREET
    RAPID CITY, SD
    ZIP 57701
  • Facility Phone: 605 394-5358
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: RACHEL WADDELL
  • NPI Number: 1851997704
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 43D0875329
LAB Type Other
Facility Name PENNINGTON COUNTY JAIL
Street 307 ST JOSEPH STREET
City RAPID CITY
State SD
ZIP 57701
Phone 605 394-5358
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2025
Certificate Expiration Date 8/18/2027
Facility Type Other
Lab Director RACHEL WADDELL

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