43D0988079 CLIA NUMBER - EDGEWOOD GREENLEAF BROOKINGS LLC

Laboratory Demographics

  • CLIA Code: 43D0988079
  • Facility Name: EDGEWOOD GREENLEAF BROOKINGS LLC
  • Facility Address: 2015 8TH STREET SOUTH
    BROOKINGS, SD
    ZIP 57006
  • Facility Phone: 605 692-6311
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ANNA TELLEKSON
  • NPI Number: 1457649840
  • Taxonomy: 310400000X - Assisted Living Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 43D0988079
LAB Type Assisted Living Facility
Facility Name EDGEWOOD GREENLEAF BROOKINGS LLC
Street 2015 8TH STREET SOUTH
City BROOKINGS
State SD
ZIP 57006
Phone 605 692-6311
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/19/2025
Certificate Expiration Date 6/18/2027
Facility Type Assisted Living Facility
Lab Director ANNA TELLEKSON

Download Record

Download this CLIA record record in Text format: Export

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

Download this CLIA record record in XML format: Export

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