43D1004726 CLIA NUMBER - AVERA ENDOCRINOLOGY AND DIABETES

Laboratory Demographics

  • CLIA Code: 43D1004726
  • Facility Name: AVERA ENDOCRINOLOGY AND DIABETES
  • Facility Address: 1600 SOUTH HIGHLINE AVE SUITE 310
    SIOUX FALLS, SD
    ZIP 57110
  • Facility Phone: 605 322-7600
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: CHARLES LONGO
  • NPI Number: 1396711016
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 43D1004726
LAB Type Community Clinic
Facility Name AVERA ENDOCRINOLOGY AND DIABETES
Street 1600 SOUTH HIGHLINE AVE SUITE 310
City SIOUX FALLS
State SD
ZIP 57110
Phone 605 322-7600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2024
Certificate Expiration Date 10/2/2026
Facility Type Community Clinic
Lab Director CHARLES LONGO

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