CLIA Code Details

Clinical Laboratory Code : 43D2331048

LEGACY MEDICAL LAB - BELLE FOURCHE (PHYSICIAN OFFICE)

Clinical Laboratory Information

Similar CLIA Codes
CLIA Number 43D2331048
Clinical laboratory number
Lab Name LEGACY MEDICAL LAB - BELLE FOURCHE
Laboratory Name
Lab Type Physician Office
Laboratory Type
Certificate Type Waiver
Clinical laboratory certificate type

Contacts

Phone 701-516-4637
Laboratory telephone number
Fax N/S (NOT SPECIFIED)
Fax number of the provider.

Facility Location

Street Address 10907 SOURDOUGH ROAD SUITE 1
Primary location adress line
City BELLE FOURCHE
Primary location city name
State SD
Primary location state name
Zip 57717
Primary location postal code

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