43D2025136 CLIA NUMBER - WELLSPRING, INC

Laboratory Demographics

  • CLIA Code: 43D2025136
  • Facility Name: WELLSPRING, INC
  • Facility Address: 22 WATERLOO STREET
    RAPID CITY, SD
    ZIP 57709
  • Facility Phone: 605 718-4870
  • Facility Type: Other - CHEM DEPEND/BEHAVIORIAL H
  • Facility Type: Waiver
  • Lab Director: BURKE EILERS
  • NPI Number: 1851059208
  • Taxonomy: 101YM0800X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 43D2025136
LAB Type Other - CHEM DEPEND/BEHAVIORIAL H
Facility Name WELLSPRING, INC
Street 22 WATERLOO STREET
City RAPID CITY
State SD
ZIP 57709
Phone 605 718-4870
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2025
Certificate Expiration Date 6/1/2027
Facility Type Other - CHEM DEPEND/BEHAVIORIAL H
Lab Director BURKE EILERS

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