43D2199873 CLIA NUMBER - ADVANCE

Laboratory Demographics

  • CLIA Code: 43D2199873
  • Facility Name: ADVANCE
  • Facility Address: 301 DIVISION AVENUE
    BROOKINGS, SD
    ZIP 57006
  • Facility Phone: 605 692-7852
  • Facility Type: Other - COMMUNITY SUPPORT PROVIDE
  • Facility Type: Waiver
  • Lab Director: BRIAN ARDRY
  • NPI Number: 1215089511
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 43D2199873
LAB Type Other - COMMUNITY SUPPORT PROVIDE
Facility Name ADVANCE
Street 301 DIVISION AVENUE
City BROOKINGS
State SD
ZIP 57006
Phone 605 692-7852
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2024
Certificate Expiration Date 11/11/2026
Facility Type Other - COMMUNITY SUPPORT PROVIDE
Lab Director BRIAN ARDRY

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