43D2190609 CLIA NUMBER - BOWDLE NURSING HOME

Laboratory Demographics

  • CLIA Code: 43D2190609
  • Facility Name: BOWDLE NURSING HOME
  • Facility Address: 8001 W 5TH STREET
    BOWDLE, SD
    ZIP 57428
  • Facility Phone: 605 285-6146
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KRIS MITCHELL
  • NPI Number: 1174610505
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 43D2190609
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BOWDLE NURSING HOME
Street 8001 W 5TH STREET
City BOWDLE
State SD
ZIP 57428
Phone 605 285-6146
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2024
Certificate Expiration Date 8/16/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director KRIS MITCHELL

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