43D1058010 CLIA NUMBER - ACCESS HEALTH FORT PIERRE

Laboratory Demographics

CLIA Number: 43D1058010

Facility Name: ACCESS HEALTH FORT PIERRE

Facility Address:
202 ISLAND DRIVE SUITE 1
FORT PIERRE, SD
ZIP 57532
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Facility Phone Number: 605 223-2200

Facility Type: Federally Qualified Health Center

Certificate Type: Certificate of Compliance

NPI Number: 1174141485

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	43D1058010
LAB Type	Federally Qualified Health Center
Facility Name	ACCESS HEALTH FORT PIERRE
Street	202 ISLAND DRIVE SUITE 1
City	FORT PIERRE
State	SD
ZIP	57532
Phone	605 223-2200
CertificateType	2
CertificateEffectiveDate	11/7/2022
CertificateExpirationDate	11/6/2024
FacilityType	Compliance

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This page was last updated on: 4/23/2024