43D0973653 CLIA NUMBER - EDGEWOOD GREENLEAF SISSETON

Laboratory Demographics

  • CLIA Code: 43D0973653
  • Facility Name: EDGEWOOD GREENLEAF SISSETON
  • Facility Address: 308 HILLVIEW ROAD
    SISSETON, SD
    ZIP 57262
  • Facility Phone: 605 698-3500
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: BOBBY JO Y. HAMM
  • NPI Number: 1841587227
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 43D0973653
LAB Type Assisted Living Facility
Facility Name EDGEWOOD GREENLEAF SISSETON
Street 308 HILLVIEW ROAD
City SISSETON
State SD
ZIP 57262
Phone 605 698-3500
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 Assisted Living Facility
Lab Director BOBBY JO Y. HAMM

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