43D2021197 CLIA NUMBER - SANFORD CANCER CENTER

Laboratory Demographics

  • CLIA Code: 43D2021197
  • Facility Name: SANFORD CANCER CENTER
  • Facility Address: 1309 WEST 17TH STREET SUITE 101
    SIOUX FALLS, SD
    ZIP 57104
  • Facility Phone: 605 328-8000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CRYSTAL M. ENSTAD
  • NPI Number: 1588834501
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 43D2021197
LAB Type Physician Office
Facility Name SANFORD CANCER CENTER
Street 1309 WEST 17TH STREET SUITE 101
City SIOUX FALLS
State SD
ZIP 57104
Phone 605 328-8000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2025
Certificate Expiration Date 3/7/2027
Facility Type Physician Office
Lab Director CRYSTAL M. ENSTAD

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