43D2039643 CLIA NUMBER - SANFORD CLINIC - 32ND & ELLIS

Laboratory Demographics

  • CLIA Code: 43D2039643
  • Facility Name: SANFORD CLINIC - 32ND & ELLIS
  • Facility Address: 2601 SOUTH ELLIS RD
    SIOUX FALLS, SD
    ZIP 57106
  • Facility Phone: 605 312-3000
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOSHUA DOORN
  • NPI Number: 1770121907
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 43D2039643
LAB Type Physician Office
Facility Name SANFORD CLINIC - 32ND & ELLIS
Street 2601 SOUTH ELLIS RD
City SIOUX FALLS
State SD
ZIP 57106
Phone 605 312-3000
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/10/2024
Certificate Expiration Date 8/9/2026
Facility Type Physician Office
Lab Director JOSHUA DOORN

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