43D0901649 CLIA NUMBER - AVERA MEDICAL GROUP WILMOT

Laboratory Demographics

  • CLIA Code: 43D0901649
  • Facility Name: AVERA MEDICAL GROUP WILMOT
  • Facility Address: 409 4TH STREET
    WILMOT, SD
    ZIP 57279
  • Facility Phone: 605 938-4351
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: MEREDITH L. BIEL
  • NPI Number: 1770680787
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 43D0901649
LAB Type Community Clinic
Facility Name AVERA MEDICAL GROUP WILMOT
Street 409 4TH STREET
City WILMOT
State SD
ZIP 57279
Phone 605 938-4351
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2025
Certificate Expiration Date 6/2/2027
Facility Type Community Clinic
Lab Director MEREDITH L. BIEL

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