43D2144021 CLIA NUMBER - STATE HOME CARE SERVICES, INC

Laboratory Demographics

  • CLIA Code: 43D2144021
  • Facility Name: STATE HOME CARE SERVICES, INC
  • Facility Address: 1301W OMAHA ST #208
    RAPID CITY, SD
    ZIP 57701
  • Facility Phone: 605 718-5004
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ANDREW BEEDLE
  • NPI Number: 1487659736
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 43D2144021
LAB Type Home Health Agency
Facility Name STATE HOME CARE SERVICES, INC
Street 1301W OMAHA ST #208
City RAPID CITY
State SD
ZIP 57701
Phone 605 718-5004
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2024
Certificate Expiration Date 2/8/2026
Facility Type Home Health Agency
Lab Director ANDREW BEEDLE

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