43D2026064 CLIA NUMBER - AVERA MCKENNAN PATIENT SERVICE CENTER

Laboratory Demographics

  • CLIA Code: 43D2026064
  • Facility Name: AVERA MCKENNAN PATIENT SERVICE CENTER
  • Facility Address: 1325 S CLIFF AVENUE
    SIOUX FALLS, SD
    ZIP 57117
  • Facility Phone: 605 322-7068
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: KACY PETERSON
  • NPI Number: 1790258044
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 43D2026064
LAB Type Hospital
Facility Name AVERA MCKENNAN PATIENT SERVICE CENTER
Street 1325 S CLIFF AVENUE
City SIOUX FALLS
State SD
ZIP 57117
Phone 605 322-7068
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/23/2025
Certificate Expiration Date 6/22/2027
Facility Type Hospital
Lab Director KACY PETERSON

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