43D2301313 CLIA NUMBER - PRAIRIE VIEW MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 43D2301313
  • Facility Name: PRAIRIE VIEW MEDICAL CLINIC
  • Facility Address: 3405 6TH STREET SUITE 5
    BROOKINGS, SD
    ZIP 57006
  • Facility Phone: 605 693-7862
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MELISSA A. WRIGHT
  • NPI Number: 1508635772
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 43D2301313
LAB Type Physician Office
Facility Name PRAIRIE VIEW MEDICAL CLINIC
Street 3405 6TH STREET SUITE 5
City BROOKINGS
State SD
ZIP 57006
Phone 605 693-7862
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2024
Certificate Expiration Date 3/24/2026
Facility Type Physician Office
Lab Director MELISSA A. WRIGHT

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