43D2198348 CLIA NUMBER - CROW CREEK SIOUX TRIBE DBA CROW CREEK SIOUX AMBULANCE

Laboratory Demographics

  • CLIA Code: 43D2198348
  • Facility Name: CROW CREEK SIOUX TRIBE DBA CROW CREEK SIOUX AMBULANCE
  • Facility Address: 206 EAST SAMBOY DRIVE
    FORT THOMPSON, SD
    ZIP 57339
  • Facility Phone: 605 245-2779
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: THOMAS THOMPSON
  • NPI Number: 1457486045
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 43D2198348
LAB Type Ambulance
Facility Name CROW CREEK SIOUX TRIBE DBA CROW CREEK SIOUX AMBULANCE
Street 206 EAST SAMBOY DRIVE
City FORT THOMPSON
State SD
ZIP 57339
Phone 605 245-2779
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2024
Certificate Expiration Date 11/1/2026
Facility Type Ambulance
Lab Director THOMAS THOMPSON

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