43D1080518 CLIA NUMBER - ROSEBUD SIOUX TRIBE COMMUNITY HEALTH REPRESENTATIVE PROGRAM

Laboratory Demographics

  • CLIA Code: 43D1080518
  • Facility Name: ROSEBUD SIOUX TRIBE COMMUNITY HEALTH REPRESENTATIVE PROGRAM
  • Facility Address: HOSPITAL ROAD BIA 9 PO BOX 808
    ROSEBUD, SD
    ZIP 57570
  • Facility Phone: 605 747-2316
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: SARAH B. REYNOLDS
  • NPI Number: 1073867420
  • Taxonomy: 347C00000X - Private Vehicle

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CLIA Record

Field Name Field Value
CLIA Number 43D1080518
LAB Type Other
Facility Name ROSEBUD SIOUX TRIBE COMMUNITY HEALTH REPRESENTATIVE PROGRAM
Street HOSPITAL ROAD BIA 9 PO BOX 808
City ROSEBUD
State SD
ZIP 57570
Phone 605 747-2316
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/25/2024
Certificate Expiration Date 2/24/2026
Facility Type Other
Lab Director SARAH B. REYNOLDS

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