43D1032895 CLIA NUMBER - AVERA MEDICAL GROUP GREGORY

Laboratory Demographics

  • CLIA Code: 43D1032895
  • Facility Name: AVERA MEDICAL GROUP GREGORY
  • Facility Address: 110 SOUTH LOGAN AVE SUITE A
    GREGORY, SD
    ZIP 57533
  • Facility Phone: 605 835-9611
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: RICHARD KAFKA
  • NPI Number: 1427090760
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 43D1032895
LAB Type Rural Health Clinic
Facility Name AVERA MEDICAL GROUP GREGORY
Street 110 SOUTH LOGAN AVE SUITE A
City GREGORY
State SD
ZIP 57533
Phone 605 835-9611
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2024
Certificate Expiration Date 10/31/2026
Facility Type Rural Health Clinic
Lab Director RICHARD KAFKA

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