43D2077925 CLIA NUMBER - SANFORD 69TH & LOUISE

Laboratory Demographics

  • CLIA Code: 43D2077925
  • Facility Name: SANFORD 69TH & LOUISE
  • Facility Address: 6101 S LOUISE AVENUE
    SIOUX FALLS, SD
    ZIP 57108
  • Facility Phone: 605 312-8000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNIFER SCHRIEVER
  • NPI Number: 1104255835
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 43D2077925
LAB Type Physician Office
Facility Name SANFORD 69TH & LOUISE
Street 6101 S LOUISE AVENUE
City SIOUX FALLS
State SD
ZIP 57108
Phone 605 312-8000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2024
Certificate Expiration Date 5/18/2026
Facility Type Physician Office
Lab Director JENNIFER SCHRIEVER

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