43D0993471 CLIA NUMBER - BLACK HILLS DERMATOLOGY CENTRE

Laboratory Demographics

CLIA Number: 43D0993471

Facility Name: BLACK HILLS DERMATOLOGY CENTRE

Facility Address:
7236 JORDAN DRIVE SUITE 101
RAPID CITY, SD
ZIP 57702
Get Directions

Facility Phone Number: 605 341-5565

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1306295217

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	43D0993471
LAB Type	Physician Office
Facility Name	BLACK HILLS DERMATOLOGY CENTRE
Street	7236 JORDAN DRIVE SUITE 101
City	RAPID CITY
State	SD
ZIP	57702
Phone	605 341-5565
CertificateType	2
CertificateEffectiveDate	9/25/2022
CertificateExpirationDate	9/24/2024
FacilityType	Compliance

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