43D0902492 CLIA NUMBER - ROSEBUD DIALYSIS FACILITY

Laboratory Demographics

  • CLIA Code: 43D0902492
  • Facility Name: ROSEBUD DIALYSIS FACILITY
  • Facility Address: 1 SOLDIER CREEK ROAD
    ROSEBUD, SD
    ZIP 57570
  • Facility Phone: 605 747-2916
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: CASEY WATKINS
  • NPI Number: 1356301519
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 43D0902492
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ROSEBUD DIALYSIS FACILITY
Street 1 SOLDIER CREEK ROAD
City ROSEBUD
State SD
ZIP 57570
Phone 605 747-2916
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2025
Certificate Expiration Date 6/20/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director CASEY WATKINS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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