43D2188627 CLIA NUMBER - AVERA ROSEBUD COUNTRY CARE CENTER

Laboratory Demographics

  • CLIA Code: 43D2188627
  • Facility Name: AVERA ROSEBUD COUNTRY CARE CENTER
  • Facility Address: 126 SOUTH LOGAN AVE
    GREGORY, SD
    ZIP 57533
  • Facility Phone: 605 835-8296
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ROXANNE AHLERS
  • NPI Number: 1952330706
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 43D2188627
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name AVERA ROSEBUD COUNTRY CARE CENTER
Street 126 SOUTH LOGAN AVE
City GREGORY
State SD
ZIP 57533
Phone 605 835-8296
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2024
Certificate Expiration Date 7/19/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ROXANNE AHLERS

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