Healther Providers Data Logo

43D0933780 CLIA NUMBER - PINE RIDGE SERVICE UNIT WOMENS HEALTH CLINIC

Laboratory Demographics

CLIA Number: 43D0933780

Facility Name: PINE RIDGE SERVICE UNIT WOMENS HEALTH CLINIC

Facility Address:
607 INDIAN HEALTH ROAD EAST HYW 18
PINE RIDGE, SD
ZIP 57770
Get Directions

Facility Phone Number: 605 867-3392

Facility Type: Other

Certificate Type: Microscopy
NPI Number: 1356663256

Taxonomy: 282N00000X - General Acute Care Hospital
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

CLIA Record

Field Name Field Value
CLIA Number 43D0933780
LAB Type Other
Facility Name PINE RIDGE SERVICE UNIT WOMENS HEALTH CLINIC
Street 607 INDIAN HEALTH ROAD EAST HYW 18
City PINE RIDGE
State SD
ZIP 57770
Phone 605 867-3392
CertificateType 3
CertificateEffectiveDate 4/8/2023
CertificateExpirationDate 4/7/2025
FacilityType PPMP

Download Record

Download this CLIA NUMBER record in Text format: Export

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

Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024