43D1026536 CLIA NUMBER - AVERA MEDICAL GROUP TEA

Laboratory Demographics

  • CLIA Code: 43D1026536
  • Facility Name: AVERA MEDICAL GROUP TEA
  • Facility Address: 725 FIGZEL COURT SUITE 100
    TEA, SD
    ZIP 57064
  • Facility Phone: 605 368-9899
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. CARILYN VAN KALSBEEK
  • NPI Number: 1376519116
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 43D1026536
LAB Type Physician Office
Facility Name AVERA MEDICAL GROUP TEA
Street 725 FIGZEL COURT SUITE 100
City TEA
State SD
ZIP 57064
Phone 605 368-9899
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 7/7/2025
Certificate Expiration Date 7/6/2027
Facility Type Physician Office
Lab Director DR. CARILYN VAN KALSBEEK

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