43D2091027 CLIA NUMBER - PRAIRIE VIEW ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 43D2091027
  • Facility Name: PRAIRIE VIEW ASSISTED LIVING
  • Facility Address: 313 S WATER STREET
    KIMBALL, SD
    ZIP 57355
  • Facility Phone: 605 778-6711
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: VIRGINIA BANEK
  • NPI Number: 1164570461
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 43D2091027
LAB Type Assisted Living Facility
Facility Name PRAIRIE VIEW ASSISTED LIVING
Street 313 S WATER STREET
City KIMBALL
State SD
ZIP 57355
Phone 605 778-6711
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2025
Certificate Expiration Date 2/3/2027
Facility Type Assisted Living Facility
Lab Director VIRGINIA BANEK

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