43D2070409 CLIA NUMBER - DAKOTA PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 43D2070409
  • Facility Name: DAKOTA PRIMARY CARE
  • Facility Address: 620 SHERIDAN LAKE RD SUITE 104
    RAPID CITY, SD
    ZIP 57702
  • Facility Phone: 605 721-6426
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHERRI KOCH
  • NPI Number: 1750712485
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 43D2070409
LAB Type Physician Office
Facility Name DAKOTA PRIMARY CARE
Street 620 SHERIDAN LAKE RD SUITE 104
City RAPID CITY
State SD
ZIP 57702
Phone 605 721-6426
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2023
Certificate Expiration Date 12/15/2025
Facility Type Physician Office
Lab Director SHERRI KOCH

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