43D2176384 CLIA NUMBER - PRAIRIE HILLS PHARMACY

Laboratory Demographics

  • CLIA Code: 43D2176384
  • Facility Name: PRAIRIE HILLS PHARMACY
  • Facility Address: 319 SUMMIT ST
    BELLE FOURCHE, SD
    ZIP 57717
  • Facility Phone: 605 723-5920
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHERYL WESTLAND
  • NPI Number: 1497310551
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 43D2176384
LAB Type Pharmacy
Facility Name PRAIRIE HILLS PHARMACY
Street 319 SUMMIT ST
City BELLE FOURCHE
State SD
ZIP 57717
Phone 605 723-5920
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2023
Certificate Expiration Date 12/12/2025
Facility Type Pharmacy
Lab Director CHERYL WESTLAND

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