43D1061278 CLIA NUMBER - SANFORD CLINIC FAMILY MEDICINE 34TH AND KIWANIS

Laboratory Demographics

  • CLIA Code: 43D1061278
  • Facility Name: SANFORD CLINIC FAMILY MEDICINE 34TH AND KIWANIS
  • Facility Address: 2701 S KIWANIS AVENUE
    SIOUX FALLS, SD
    ZIP 57105
  • Facility Phone: 605 328-9100
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: STEPHEN FOLEY
  • NPI Number: 1255353934
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 43D1061278
LAB Type Physician Office
Facility Name SANFORD CLINIC FAMILY MEDICINE 34TH AND KIWANIS
Street 2701 S KIWANIS AVENUE
City SIOUX FALLS
State SD
ZIP 57105
Phone 605 328-9100
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/15/2024
Certificate Expiration Date 7/14/2026
Facility Type Physician Office
Lab Director STEPHEN FOLEY

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