43D0901524 CLIA NUMBER - INTERIM HEALTHCARE

Laboratory Demographics

  • CLIA Code: 43D0901524
  • Facility Name: INTERIM HEALTHCARE
  • Facility Address: 725 INDIANA STREET
    RAPID CITY, SD
    ZIP 57701
  • Facility Phone: 605 348-5885
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: NATOSHA M. METTLER
  • NPI Number: 1669473823
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 43D0901524
LAB Type Home Health Agency
Facility Name INTERIM HEALTHCARE
Street 725 INDIANA STREET
City RAPID CITY
State SD
ZIP 57701
Phone 605 348-5885
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/30/2025
Certificate Expiration Date 5/29/2027
Facility Type Home Health Agency
Lab Director NATOSHA M. METTLER

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This page was last updated on: 6/4/2025