43D2063374 CLIA NUMBER - AVERA AT HOME

Laboratory Demographics

  • CLIA Code: 43D2063374
  • Facility Name: AVERA AT HOME
  • Facility Address: 4509 S PRINCE OF PEACE PLACE
    SIOUX FALLS, SD
    ZIP 57103
  • Facility Phone: 605 322-7705
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: CATHY KELLOGG
  • NPI Number: 1467474239
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 43D2063374
LAB Type Hospice
Facility Name AVERA AT HOME
Street 4509 S PRINCE OF PEACE PLACE
City SIOUX FALLS
State SD
ZIP 57103
Phone 605 322-7705
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2025
Certificate Expiration Date 7/31/2027
Facility Type Hospice
Lab Director CATHY KELLOGG

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