43D2168201 CLIA NUMBER - AVANTARA PIERRE

Laboratory Demographics

  • CLIA Code: 43D2168201
  • Facility Name: AVANTARA PIERRE
  • Facility Address: 950 EAST PARK
    PIERRE, SD
    ZIP 57501
  • Facility Phone: 605 224-8628
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: HEATHER GAVITT
  • NPI Number: 1528624681
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 43D2168201
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name AVANTARA PIERRE
Street 950 EAST PARK
City PIERRE
State SD
ZIP 57501
Phone 605 224-8628
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2025
Certificate Expiration Date 6/23/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director HEATHER GAVITT

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