43D2265170 CLIA NUMBER - DAKOTA VASCULAR PROF LLC DBA DAKOTA VASCULAR

Laboratory Demographics

  • CLIA Code: 43D2265170
  • Facility Name: DAKOTA VASCULAR PROF LLC DBA DAKOTA VASCULAR
  • Facility Address: 3801 SOUTH ELMWOOD AVE
    SIOUX FALLS, SD
    ZIP 57105
  • Facility Phone: 605 306-6100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANGELO SANTOS
  • NPI Number: 1407591258
  • Taxonomy: 2086S0129X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 43D2265170
LAB Type Physician Office
Facility Name DAKOTA VASCULAR PROF LLC DBA DAKOTA VASCULAR
Street 3801 SOUTH ELMWOOD AVE
City SIOUX FALLS
State SD
ZIP 57105
Phone 605 306-6100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2024
Certificate Expiration Date 7/24/2026
Facility Type Physician Office
Lab Director ANGELO SANTOS

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