43D1058472 CLIA NUMBER - SANFORD HEALTH - BROOKINGS CLINIC

Laboratory Demographics

  • CLIA Code: 43D1058472
  • Facility Name: SANFORD HEALTH - BROOKINGS CLINIC
  • Facility Address: 922 22 ND AVENUE SOUTH
    BROOKINGS, SD
    ZIP 57006
  • Facility Phone: 605 697-1900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMY L. COOK
  • NPI Number: 1043241466
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 43D1058472
LAB Type Physician Office
Facility Name SANFORD HEALTH - BROOKINGS CLINIC
Street 922 22 ND AVENUE SOUTH
City BROOKINGS
State SD
ZIP 57006
Phone 605 697-1900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2024
Certificate Expiration Date 9/5/2026
Facility Type Physician Office
Lab Director AMY L. COOK

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