43D1076117 CLIA NUMBER - MONUMENT HEALTH BUFFALO CLINIC

Laboratory Demographics

  • CLIA Code: 43D1076117
  • Facility Name: MONUMENT HEALTH BUFFALO CLINIC
  • Facility Address: 209 RAMSLAND PO BOX 45
    BUFFALO, SD
    ZIP 57720
  • Facility Phone: 605 375-3744
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BOBBI RAE THUEN
  • NPI Number: 1073992004
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 43D1076117
LAB Type Physician Office
Facility Name MONUMENT HEALTH BUFFALO CLINIC
Street 209 RAMSLAND PO BOX 45
City BUFFALO
State SD
ZIP 57720
Phone 605 375-3744
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2023
Certificate Expiration Date 11/5/2025
Facility Type Physician Office
Lab Director BOBBI RAE THUEN

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