43D0945759 CLIA NUMBER - SANFORD CLINIC VERMILLION

Laboratory Demographics

  • CLIA Code: 43D0945759
  • Facility Name: SANFORD CLINIC VERMILLION
  • Facility Address: 20 SOUTH PLUM ST
    VERMILLION, SD
    ZIP 57069
  • Facility Phone: 605 624-9111
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: NANCY J. ELLISON
  • NPI Number: 1013921733
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 43D0945759
LAB Type Community Clinic
Facility Name SANFORD CLINIC VERMILLION
Street 20 SOUTH PLUM ST
City VERMILLION
State SD
ZIP 57069
Phone 605 624-9111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2024
Certificate Expiration Date 5/10/2026
Facility Type Community Clinic
Lab Director NANCY J. ELLISON

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