43D1071459 CLIA NUMBER - BLACK HILLS LIFE FLIGHT

Laboratory Demographics

  • CLIA Code: 43D1071459
  • Facility Name: BLACK HILLS LIFE FLIGHT
  • Facility Address: 4025 LACROIS COURT
    RAPID CITY, SD
    ZIP 57703
  • Facility Phone: 402 290-8705
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: SHANE MOHR
  • NPI Number: 1376896621
  • Taxonomy: 284300000X - Special Hospital

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CLIA Record

Field Name Field Value
CLIA Number 43D1071459
LAB Type Ambulance
Facility Name BLACK HILLS LIFE FLIGHT
Street 4025 LACROIS COURT
City RAPID CITY
State SD
ZIP 57703
Phone 402 290-8705
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2024
Certificate Expiration Date 6/30/2026
Facility Type Ambulance
Lab Director SHANE MOHR

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