43D2294949 CLIA NUMBER - CUSTER CARE AND REHAB CENTER

Laboratory Demographics

  • CLIA Code: 43D2294949
  • Facility Name: CUSTER CARE AND REHAB CENTER
  • Facility Address: 1065 MONTGOMERY ST
    CUSTER, SD
    ZIP 57730
  • Facility Phone: 605 351-6434
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TRENNA COOPER
  • NPI Number: 1427833649
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 43D2294949
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CUSTER CARE AND REHAB CENTER
Street 1065 MONTGOMERY ST
City CUSTER
State SD
ZIP 57730
Phone 605 351-6434
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2023
Certificate Expiration Date 12/3/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director TRENNA COOPER

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