43D1029871 CLIA NUMBER - PONDEROSA LODGE SENIOR LIVING

Laboratory Demographics

  • CLIA Code: 43D1029871
  • Facility Name: PONDEROSA LODGE SENIOR LIVING
  • Facility Address: 7400 SOUTH LOUISE AVENUE
    SIOUX FALLS, SD
    ZIP 57108
  • Facility Phone: 605 334-9100
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MARTINA CASTLE
  • NPI Number: 1225270556
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 43D1029871
LAB Type Assisted Living Facility
Facility Name PONDEROSA LODGE SENIOR LIVING
Street 7400 SOUTH LOUISE AVENUE
City SIOUX FALLS
State SD
ZIP 57108
Phone 605 334-9100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2025
Certificate Expiration Date 3/30/2027
Facility Type Assisted Living Facility
Lab Director MARTINA CASTLE

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