43D2171470 CLIA NUMBER - AVERA SPECIALTY HOSPITAL LABORATORY

Laboratory Demographics

  • CLIA Code: 43D2171470
  • Facility Name: AVERA SPECIALTY HOSPITAL LABORATORY
  • Facility Address: 6100 SOUTH LOUISE AVENUE
    SIOUX FALLS, SD
    ZIP 57108
  • Facility Phone: 605 504-1585
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. RAED A. SULAIMAN
  • NPI Number: 1205311628
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 43D2171470
LAB Type Hospital
Facility Name AVERA SPECIALTY HOSPITAL LABORATORY
Street 6100 SOUTH LOUISE AVENUE
City SIOUX FALLS
State SD
ZIP 57108
Phone 605 504-1585
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 10/23/2024
Certificate Expiration Date 10/22/2026
Facility Type Hospital
Lab Director DR. RAED A. SULAIMAN

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