43D0984733 CLIA NUMBER - DAKOTA PHYSICAL THERAPY HOME HEALTH CARE

Laboratory Demographics

  • CLIA Code: 43D0984733
  • Facility Name: DAKOTA PHYSICAL THERAPY HOME HEALTH CARE
  • Facility Address: 910 SOUTH EDGERTON ST
    MITCHELL, SD
    ZIP 57301
  • Facility Phone: 605 996-4778
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JOSHUA M. MOODY
  • NPI Number: 1720047616
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 43D0984733
LAB Type Home Health Agency
Facility Name DAKOTA PHYSICAL THERAPY HOME HEALTH CARE
Street 910 SOUTH EDGERTON ST
City MITCHELL
State SD
ZIP 57301
Phone 605 996-4778
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2025
Certificate Expiration Date 3/28/2027
Facility Type Home Health Agency
Lab Director JOSHUA M. MOODY

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