43D2123371 CLIA NUMBER - AVERA MEDICAL GROUP - PIERRE MOHS LABORATORY

Laboratory Demographics

  • CLIA Code: 43D2123371
  • Facility Name: AVERA MEDICAL GROUP - PIERRE MOHS LABORATORY
  • Facility Address: THE HELMSLEY CENTER 801 EAST SIOUX AVENUE
    PIERRE, SD
    ZIP 57501
  • Facility Phone: 605 224-2268
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOYCE FLETCHER
  • NPI Number: 1003363490
  • Taxonomy: 363A00000X - Physician Assistant

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CLIA Record

Field Name Field Value
CLIA Number 43D2123371
LAB Type Physician Office
Facility Name AVERA MEDICAL GROUP - PIERRE MOHS LABORATORY
Street THE HELMSLEY CENTER 801 EAST SIOUX AVENUE
City PIERRE
State SD
ZIP 57501
Phone 605 224-2268
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/17/2025
Certificate Expiration Date 4/16/2027
Facility Type Physician Office
Lab Director JOYCE FLETCHER

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