43D2265169 CLIA NUMBER - SANFORD CLINIC HARRISBURG

Laboratory Demographics

  • CLIA Code: 43D2265169
  • Facility Name: SANFORD CLINIC HARRISBURG
  • Facility Address: 111 NORTH CLIFF AVE
    HARRISBURG, SD
    ZIP 57032
  • Facility Phone: 605 213-9700
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Microscopy
  • Lab Director: TODD SORENSEN
  • NPI Number: 1619990603
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 43D2265169
LAB Type Ancillary Testing Site in Health Care Center
Facility Name SANFORD CLINIC HARRISBURG
Street 111 NORTH CLIFF AVE
City HARRISBURG
State SD
ZIP 57032
Phone 605 213-9700
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/7/2024
Certificate Expiration Date 9/6/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director TODD SORENSEN

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