43D1032036 CLIA NUMBER - EDGEWOOD VISTA ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 43D1032036
  • Facility Name: EDGEWOOD VISTA ASSISTED LIVING
  • Facility Address: 3409 E 5TH STREET
    SIOUX FALLS, SD
    ZIP 57103
  • Facility Phone: 605 275-0074
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: LISA J. ANDERSON
  • NPI Number: 1992093389
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 43D1032036
LAB Type Assisted Living Facility
Facility Name EDGEWOOD VISTA ASSISTED LIVING
Street 3409 E 5TH STREET
City SIOUX FALLS
State SD
ZIP 57103
Phone 605 275-0074
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2024
Certificate Expiration Date 10/14/2026
Facility Type Assisted Living Facility
Lab Director LISA J. ANDERSON

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