43D2166684 CLIA NUMBER - NORTH SIOUX CITY FIRE RESCUE EMS DAKOTA CALLEY EMERGENCY SER

Laboratory Demographics

CLIA Number: 43D2166684

Facility Name: NORTH SIOUX CITY FIRE RESCUE EMS DAKOTA CALLEY EMERGENCY SER

Facility Address:
205 SODRAC DR
NORTH SIOUX CITY, SD
ZIP 57049
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Facility Phone Number: 605 232-4286

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1912048687

Taxonomy: 1223G0001X - Dentist
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

CLIA Record

Field Name Field Value
CLIA Number 43D2166684
LAB Type Ambulance
Facility Name NORTH SIOUX CITY FIRE RESCUE EMS DAKOTA CALLEY EMERGENCY SER
Street 205 SODRAC DR
City NORTH SIOUX CITY
State SD
ZIP 57049
Phone 605 232-4286
CertificateType 4
CertificateEffectiveDate 5/22/2023
CertificateExpirationDate 5/21/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024