43D2200086 CLIA NUMBER - INTERIM HEALTHCARE

Laboratory Demographics

  • CLIA Code: 43D2200086
  • Facility Name: INTERIM HEALTHCARE
  • Facility Address: 3608 SOUTH SOUTHEASTERN AVE
    SIOUX FALLS, SD
    ZIP 57103
  • Facility Phone: 605 371-4253
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: PAUL MILLMAN
  • NPI Number: 1063441780
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 43D2200086
LAB Type Home Health Agency
Facility Name INTERIM HEALTHCARE
Street 3608 SOUTH SOUTHEASTERN AVE
City SIOUX FALLS
State SD
ZIP 57103
Phone 605 371-4253
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2024
Certificate Expiration Date 11/12/2026
Facility Type Home Health Agency
Lab Director PAUL MILLMAN

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