CLIA lab
CLIA 43D0921384: Avera Medical Group Clinic - Revillo, SD
Revillo, SD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 43D0921384 belongs to Avera Medical Group Clinic - Revillo, SD in Revillo, SD.
Certificate of Waiver, effective January 8, 2026, expires January 7, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- January 8, 2026
- Certificate expiration
- January 7, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 28, 1996
- Facility type
- Physician office
- Ownership (control type)
- Religious affiliation
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 43D0921384
- Lab name
- Avera Medical Group Clinic - Revillo, SD
- Address
- 305 N 2nd Avenue, Post Office Box 6, Revillo, SD 57259
- Phone
- (605) 623-4695
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for Avera Medical Group Clinic - Revillo, SD in Revillo?
43D0921384, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Avera Medical Group Clinic - Revillo, SD hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 43D0921384 expire?
The CMS file lists January 7, 2028 as the certificate expiration date; the certificate took effect January 8, 2026.