43D2267197 CLIA NUMBER - SG ESSENTIALS

Laboratory Demographics

  • CLIA Code: 43D2267197
  • Facility Name: SG ESSENTIALS
  • Facility Address: 1028 29TH ST SOUTHEAST
    WATERTOWN, SD
    ZIP 57201
  • Facility Phone: 605 878-2888
  • Facility Type: Practitioner Other
  • Facility Type: Microscopy
  • Lab Director: MELISSA MAGSTADT
  • NPI Number: 1750092151
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 43D2267197
LAB Type Practitioner Other
Facility Name SG ESSENTIALS
Street 1028 29TH ST SOUTHEAST
City WATERTOWN
State SD
ZIP 57201
Phone 605 878-2888
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 8/22/2024
Certificate Expiration Date 8/21/2026
Facility Type Practitioner Other
Lab Director MELISSA MAGSTADT

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