43D2121224 CLIA NUMBER - EUREKA MEDICAL CLINIC AVERA

Laboratory Demographics

  • CLIA Code: 43D2121224
  • Facility Name: EUREKA MEDICAL CLINIC AVERA
  • Facility Address: 200 J AVENUE SUITE A
    EUREKA, SD
    ZIP 57437
  • Facility Phone: 605 284-2621
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LISA MEHLHAFF
  • NPI Number: 1881047371
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 43D2121224
LAB Type Physician Office
Facility Name EUREKA MEDICAL CLINIC AVERA
Street 200 J AVENUE SUITE A
City EUREKA
State SD
ZIP 57437
Phone 605 284-2621
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2024
Certificate Expiration Date 10/31/2026
Facility Type Physician Office
Lab Director LISA MEHLHAFF

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