43D2084690 CLIA NUMBER - RIVERS EDGE AESTHETIC SURGERY

Laboratory Demographics

  • CLIA Code: 43D2084690
  • Facility Name: RIVERS EDGE AESTHETIC SURGERY
  • Facility Address: 4201 S MINNESOTA AVENUE #111
    SIOUX FALLS, SD
    ZIP 57105
  • Facility Phone: 605 335-3349
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JAMES BREIT
  • NPI Number: 1285936641
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 43D2084690
LAB Type Ambulatory Surgery Center
Facility Name RIVERS EDGE AESTHETIC SURGERY
Street 4201 S MINNESOTA AVENUE #111
City SIOUX FALLS
State SD
ZIP 57105
Phone 605 335-3349
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2024
Certificate Expiration Date 9/28/2026
Facility Type Ambulatory Surgery Center
Lab Director JAMES BREIT

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