43D2190239 CLIA NUMBER - FOOTHILLS FAMILY HEALTH & WELLNESS

Laboratory Demographics

  • CLIA Code: 43D2190239
  • Facility Name: FOOTHILLS FAMILY HEALTH & WELLNESS
  • Facility Address: 2920 WEST MAIN STREET SUITE 2
    RAPID CITY, SD
    ZIP 57702
  • Facility Phone: 605 719-7313
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KINSEY SHULTZ PIATZ
  • NPI Number: 1447877386
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 43D2190239
LAB Type Physician Office
Facility Name FOOTHILLS FAMILY HEALTH & WELLNESS
Street 2920 WEST MAIN STREET SUITE 2
City RAPID CITY
State SD
ZIP 57702
Phone 605 719-7313
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2024
Certificate Expiration Date 8/10/2026
Facility Type Physician Office
Lab Director KINSEY SHULTZ PIATZ

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