43D2199516 CLIA NUMBER - SOUTHEASTERN BEHAVIORAL HEALTH

Laboratory Demographics

  • CLIA Code: 43D2199516
  • Facility Name: SOUTHEASTERN BEHAVIORAL HEALTH
  • Facility Address: 2000 SOUTH SUMMIT AVE
    SIOUX FALLS, SD
    ZIP 57105
  • Facility Phone: 605 336-0510
  • Facility Type: Other - DD RESIDENTIAL PROGRAM
  • Facility Type: Waiver
  • Lab Director: CHRISTI GRAHAM
  • NPI Number: 1114002573
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 43D2199516
LAB Type Other - DD RESIDENTIAL PROGRAM
Facility Name SOUTHEASTERN BEHAVIORAL HEALTH
Street 2000 SOUTH SUMMIT AVE
City SIOUX FALLS
State SD
ZIP 57105
Phone 605 336-0510
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2024
Certificate Expiration Date 11/8/2026
Facility Type Other - DD RESIDENTIAL PROGRAM
Lab Director CHRISTI GRAHAM

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This page was last updated on: 3/20/2025