43D2157712 CLIA NUMBER - WALWORTH COUNTY CARE CENTER INC

Laboratory Demographics

  • CLIA Code: 43D2157712
  • Facility Name: WALWORTH COUNTY CARE CENTER INC
  • Facility Address: 4861 LINCOLN AVE
    SELBY, SD
    ZIP 57472
  • Facility Phone: 605 649-7663
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: BRANDY FAEHNRICH
  • NPI Number: 1619445152
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 43D2157712
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WALWORTH COUNTY CARE CENTER INC
Street 4861 LINCOLN AVE
City SELBY
State SD
ZIP 57472
Phone 605 649-7663
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2024
Certificate Expiration Date 11/12/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director BRANDY FAEHNRICH

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