43D2312211 CLIA NUMBER - MONUMENT HEALTH DIALYSIS LLC SPEARFISH

Laboratory Demographics

  • CLIA Code: 43D2312211
  • Facility Name: MONUMENT HEALTH DIALYSIS LLC SPEARFISH
  • Facility Address: 132 YANKEE ST
    SPEARFISH, SD
    ZIP 57783
  • Facility Phone: 605 722-8110
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KRISTIN CHILLEMI
  • NPI Number: 1255415246
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 43D2312211
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MONUMENT HEALTH DIALYSIS LLC SPEARFISH
Street 132 YANKEE ST
City SPEARFISH
State SD
ZIP 57783
Phone 605 722-8110
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2024
Certificate Expiration Date 10/6/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director KRISTIN CHILLEMI

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This page was last updated on: 6/4/2025