43D2102284 CLIA NUMBER - DAKOTA RADIOLOGY

Laboratory Demographics

  • CLIA Code: 43D2102284
  • Facility Name: DAKOTA RADIOLOGY
  • Facility Address: 2929 5TH STREET SUITE 100
    RAPID CITY, SD
    ZIP 57701
  • Facility Phone: 605 342-2852
  • Facility Type: Other - PET SCAN PROVIDER
  • Facility Type: Waiver
  • Lab Director: CHRISTINA FARRUGGIA
  • NPI Number: 1093772527
  • Taxonomy: 2085R0202X - Radiology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 43D2102284
LAB Type Other - PET SCAN PROVIDER
Facility Name DAKOTA RADIOLOGY
Street 2929 5TH STREET SUITE 100
City RAPID CITY
State SD
ZIP 57701
Phone 605 342-2852
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2025
Certificate Expiration Date 9/20/2027
Facility Type Other - PET SCAN PROVIDER
Lab Director CHRISTINA FARRUGGIA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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