43D2294851 CLIA NUMBER - SANFORD HEALTH - ACUTE CARE SPORTS COMPLEX

Laboratory Demographics

CLIA Number: 43D2294851

Facility Name: SANFORD HEALTH - ACUTE CARE SPORTS COMPLEX

Facility Address:
4000 NORTH BRENDAN LANE
SIOUX FALLS, SD
ZIP 57107
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Facility Phone Number: 605 332-2883

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Waiver

NPI Number: 1427555002

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	43D2294851
LAB Type	Ancillary Testing Site in Health Care Center
Facility Name	SANFORD HEALTH - ACUTE CARE SPORTS COMPLEX
Street	4000 NORTH BRENDAN LANE
City	SIOUX FALLS
State	SD
ZIP	57107
Phone	605 332-2883
CertificateType	4
CertificateEffectiveDate	11/30/2023
CertificateExpirationDate	11/29/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024