43D2119357 CLIA NUMBER - MOCCASIN CREEK DIALYSIS

Laboratory Demographics

  • CLIA Code: 43D2119357
  • Facility Name: MOCCASIN CREEK DIALYSIS
  • Facility Address: 3313 6TH AVENUE SE
    ABERDEEN, SD
    ZIP 57401
  • Facility Phone: 605 225-7344
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: CHRSITINA LANKHORST
  • NPI Number: 1437502614
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 43D2119357
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MOCCASIN CREEK DIALYSIS
Street 3313 6TH AVENUE SE
City ABERDEEN
State SD
ZIP 57401
Phone 605 225-7344
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/26/2024
Certificate Expiration Date 9/25/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director CHRSITINA LANKHORST

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