43D2001540 CLIA NUMBER - FOUNDERS PARK CLINIC

Laboratory Demographics

  • CLIA Code: 43D2001540
  • Facility Name: FOUNDERS PARK CLINIC
  • Facility Address: 211 FOUNDERS PARK DRIVE SUITE C
    RAPID CITY, SD
    ZIP 57701
  • Facility Phone: 605 791-5959
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARTIN SPAHN
  • NPI Number: 1386927465
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 43D2001540
LAB Type Physician Office
Facility Name FOUNDERS PARK CLINIC
Street 211 FOUNDERS PARK DRIVE SUITE C
City RAPID CITY
State SD
ZIP 57701
Phone 605 791-5959
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2023
Certificate Expiration Date 12/21/2025
Facility Type Physician Office
Lab Director MARTIN SPAHN

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