43D1068722 CLIA NUMBER - SIOUXLAND ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES

Laboratory Demographics

  • CLIA Code: 43D1068722
  • Facility Name: SIOUXLAND ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES
  • Facility Address: 6401 S MINNESOTA AVENUE
    SIOUX FALLS, SD
    ZIP 57108
  • Facility Phone: 605 335-1080
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DENIS MILLER
  • NPI Number: 1790757011
  • Taxonomy: 1223S0112X - Dentist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 43D1068722
LAB Type Practitioner Other
Facility Name SIOUXLAND ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES
Street 6401 S MINNESOTA AVENUE
City SIOUX FALLS
State SD
ZIP 57108
Phone 605 335-1080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2024
Certificate Expiration Date 9/15/2026
Facility Type Practitioner Other
Lab Director DENIS MILLER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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