43D2201313 CLIA NUMBER - PETER M SOTHERLAND DDS

Laboratory Demographics

  • CLIA Code: 43D2201313
  • Facility Name: PETER M SOTHERLAND DDS
  • Facility Address: 110 NORTH CHICAGO
    HOT SPRINGS, SD
    ZIP 57747
  • Facility Phone: 605 745-5776
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: PETER SOTHERLAND
  • NPI Number: 1730237280
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 43D2201313
LAB Type Practitioner Other
Facility Name PETER M SOTHERLAND DDS
Street 110 NORTH CHICAGO
City HOT SPRINGS
State SD
ZIP 57747
Phone 605 745-5776
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2024
Certificate Expiration Date 11/18/2026
Facility Type Practitioner Other
Lab Director PETER SOTHERLAND

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