43D2093084 CLIA NUMBER - EDGEWOOD PIERRE LLC

Laboratory Demographics

  • CLIA Code: 43D2093084
  • Facility Name: EDGEWOOD PIERRE LLC
  • Facility Address: 1950 EAST 4TH STREET
    PIERRE, SD
    ZIP 57501
  • Facility Phone: (605) 494-3400
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: COURTNEY VOLKER
  • NPI Number: 1730554577
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 43D2093084
LAB Type Assisted Living Facility
Facility Name EDGEWOOD PIERRE LLC
Street 1950 EAST 4TH STREET
City PIERRE
State SD
ZIP 57501
Phone 6054943400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2025
Certificate Expiration Date 3/19/2027
Facility Type Assisted Living Facility
Lab Director COURTNEY VOLKER

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This page was last updated on: 5/18/2026