43D1071729 CLIA NUMBER - MONUMENT HEALTH DEADWOOD CLINIC

Laboratory Demographics

  • CLIA Code: 43D1071729
  • Facility Name: MONUMENT HEALTH DEADWOOD CLINIC
  • Facility Address: 71 CHARLES STREET
    DEADWOOD, SD
    ZIP 57732
  • Facility Phone: 605 717-6431
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TRACI MATTHEW
  • NPI Number: 1255377412
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 43D1071729
LAB Type Physician Office
Facility Name MONUMENT HEALTH DEADWOOD CLINIC
Street 71 CHARLES STREET
City DEADWOOD
State SD
ZIP 57732
Phone 605 717-6431
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2025
Certificate Expiration Date 7/30/2027
Facility Type Physician Office
Lab Director TRACI MATTHEW

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