43D2050282 CLIA NUMBER - OGLALA SIOUX TRIBE CLINICAL LAB

Laboratory Demographics

  • CLIA Code: 43D2050282
  • Facility Name: OGLALA SIOUX TRIBE CLINICAL LAB
  • Facility Address: 1 WEST HIGHWAY 18
    PINE RIDGE, SD
    ZIP 57770
  • Facility Phone: 605 867-2204
  • Facility Type: Other - DRUG TESTING OFFICE
  • Facility Type: Waiver
  • Lab Director: WARREN CROSS
  • NPI Number: 1104060128
  • Taxonomy: 282NR1301X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 43D2050282
LAB Type Other - DRUG TESTING OFFICE
Facility Name OGLALA SIOUX TRIBE CLINICAL LAB
Street 1 WEST HIGHWAY 18
City PINE RIDGE
State SD
ZIP 57770
Phone 605 867-2204
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/26/2024
Certificate Expiration Date 11/25/2026
Facility Type Other - DRUG TESTING OFFICE
Lab Director WARREN CROSS

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