43D1048618 CLIA NUMBER - PRAIRIE HEALTH

Laboratory Demographics

  • CLIA Code: 43D1048618
  • Facility Name: PRAIRIE HEALTH
  • Facility Address: 230 MAIN STREET PO BOX 22
    CORSICA, SD
    ZIP 57328
  • Facility Phone: 605 946-5959
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: MAURICE CHESSMORE
  • NPI Number: 1003879958
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 43D1048618
LAB Type Community Clinic
Facility Name PRAIRIE HEALTH
Street 230 MAIN STREET PO BOX 22
City CORSICA
State SD
ZIP 57328
Phone 605 946-5959
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2023
Certificate Expiration Date 12/5/2025
Facility Type Community Clinic
Lab Director MAURICE CHESSMORE

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