43D0946945 CLIA NUMBER - EDGEWOOD PRAIRIE CROSSINGS SIOUX FALLS

Laboratory Demographics

CLIA Number: 43D0946945

Facility Name: EDGEWOOD PRAIRIE CROSSINGS SIOUX FALLS

Facility Address:
1806 SOUTH DOROTHY AVE
SIOUX FALLS, SD
ZIP 57106
Get Directions

Facility Phone Number: 605 361-0056

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1609202712

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	43D0946945
LAB Type	Assisted Living Facility
Facility Name	EDGEWOOD PRAIRIE CROSSINGS SIOUX FALLS
Street	1806 SOUTH DOROTHY AVE
City	SIOUX FALLS
State	SD
ZIP	57106
Phone	605 361-0056
CertificateType	4
CertificateEffectiveDate	6/5/2022
CertificateExpirationDate	6/4/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

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

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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