Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
43D2318899
|
|
Clinical laboratory number
|
|
Lab Name
|
OST HEALTH ADMINISTRATION
|
|
Laboratory Name
|
|
Lab Type
|
Rural Health Clinic
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
605-454-0438
|
|
Laboratory telephone number
|
|
Fax
|
605-867-2063
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
100 AIRPORT ROAD
|
|
Primary location adress line
|
|
City
|
PINE RIDGE
|
|
Primary location city name
|
|
State
|
SD
|
|
Primary location state name
|
|
Zip
|
57770
|
|
Primary location postal code
|