CLIA lab
CLIA 43D1039478: Lakeside Pain Center Prof, LLC
Watertown, SD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 43D1039478 belongs to Lakeside Pain Center Prof, LLC in Watertown, SD.
Certificate of Waiver, effective April 14, 2025, expires April 13, 2027.
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
- April 14, 2025
- Certificate expiration
- April 13, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 14, 2005
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- 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
- 43D1039478
- Lab name
- Lakeside Pain Center Prof, LLC
- Address
- 1512 4th Street NE, Watertown, SD 57201
- Phone
- (605) 884-0100
- Fax
- (605) 753-0017
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Watertown, SD
- Aimee M Schulte OD PCCertificate of Waiver, Other practitioner43D2067640
- Avantara WatertownCertificate of Waiver, Skilled nursing or nursing facility43D2168180
- Codington County Detention CenterCertificate of Waiver, Other43D2238743
- Edgewood Prairie Crossings Watertown Il LLCCertificate of Waiver, Assisted living facility43D2110844
- Edgewood Watertown MC2 LLCCertificate of Waiver, Assisted living facility43D2158583
- Garcia Family Clinic PLLCCertificate of Waiver, Physician office43D2171673
- Haven CenterCertificate of Waiver, Other43D2296200
- Healthsource Chiropractic of WatertownCertificate of Waiver, Other practitioner43D2180740
- Human Service AgencyCertificate of Waiver, Other43D2199165
- Hy-Vee Pharmacy 1871Certificate of Waiver, Pharmacy43D1058004
Related
Questions
What is the CLIA number for Lakeside Pain Center Prof, LLC in Watertown?
43D1039478, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lakeside Pain Center Prof, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 43D1039478 expire?
The CMS file lists April 13, 2027 as the certificate expiration date; the certificate took effect April 14, 2025.