43D2022772 CLIA NUMBER - AVERA HEALTH PLANS

Laboratory Demographics

  • CLIA Code: 43D2022772
  • Facility Name: AVERA HEALTH PLANS
  • Facility Address: 5300 SOUTH BROADBAND AVE ATTN DEBBIE LANCTO
    SIOUX FALLS, SD
    ZIP 57108
  • Facility Phone: 605 504-5482
  • Facility Type: Health Main. Organization
  • Facility Type: Waiver
  • Lab Director: PRESTON RENSHAW
  • NPI Number: 1376662825
  • Taxonomy: 261QX0100X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 43D2022772
LAB Type Health Main. Organization
Facility Name AVERA HEALTH PLANS
Street 5300 SOUTH BROADBAND AVE ATTN DEBBIE LANCTO
City SIOUX FALLS
State SD
ZIP 57108
Phone 605 504-5482
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2025
Certificate Expiration Date 4/7/2027
Facility Type Health Main. Organization
Lab Director PRESTON RENSHAW

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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