43D2199165 CLIA NUMBER - HUMAN SERVICE AGENCY

Laboratory Demographics

  • CLIA Code: 43D2199165
  • Facility Name: HUMAN SERVICE AGENCY
  • Facility Address: 123 19TH ST NORTHEAST
    WATERTOWN, SD
    ZIP 57201
  • Facility Phone: 605 884-3536
  • Facility Type: Other - CSP AND OP BH/SUD FACILIT
  • Facility Type: Waiver
  • Lab Director: KARI JOHNSTON
  • NPI Number: 1215481031
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 43D2199165
LAB Type Other - CSP AND OP BH/SUD FACILIT
Facility Name HUMAN SERVICE AGENCY
Street 123 19TH ST NORTHEAST
City WATERTOWN
State SD
ZIP 57201
Phone 605 884-3536
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2024
Certificate Expiration Date 11/4/2026
Facility Type Other - CSP AND OP BH/SUD FACILIT
Lab Director KARI JOHNSTON

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