43D1055529 CLIA NUMBER - MEDICINE SHOPPE, THE

Laboratory Demographics

  • CLIA Code: 43D1055529
  • Facility Name: MEDICINE SHOPPE, THE
  • Facility Address: 1304 MT RUSHMORE ROAD
    RAPID CITY, SD
    ZIP 57701
  • Facility Phone: 605 348-6305
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CURTIS RISING
  • NPI Number: 1881864494
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 43D1055529
LAB Type Pharmacy
Facility Name MEDICINE SHOPPE, THE
Street 1304 MT RUSHMORE ROAD
City RAPID CITY
State SD
ZIP 57701
Phone 605 348-6305
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2024
Certificate Expiration Date 6/19/2026
Facility Type Pharmacy
Lab Director CURTIS RISING

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This page was last updated on: 3/20/2025