43D1034769 CLIA NUMBER - GOLDEN PRAIRIE MANOR

Laboratory Demographics

  • CLIA Code: 43D1034769
  • Facility Name: GOLDEN PRAIRIE MANOR
  • Facility Address: 1145 GOLDEN PRAIRIE DRIVE
    WINNER, SD
    ZIP 57580
  • Facility Phone: 605 842-0508
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: LORI MCCARTY
  • NPI Number: 1083813794
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 43D1034769
LAB Type Assisted Living Facility
Facility Name GOLDEN PRAIRIE MANOR
Street 1145 GOLDEN PRAIRIE DRIVE
City WINNER
State SD
ZIP 57580
Phone 605 842-0508
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2024
Certificate Expiration Date 12/12/2026
Facility Type Assisted Living Facility
Lab Director LORI MCCARTY

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