CLIA lab
CLIA 43D1064935: Countryside Inn Assisted and
Rosholt, SD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 43D1064935 belongs to Countryside Inn Assisted and in Rosholt, SD.
Certificate of Waiver, effective February 16, 2025, expires February 15, 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
- February 16, 2025
- Certificate expiration
- February 15, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 16, 2007
- Facility type
- Assisted living facility
- 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
- 43D1064935
- Lab name
- Countryside Inn Assisted and
- Address
- 208 Prarie Avenue, Rosholt, SD 57260
- Phone
- (605) 537-4588
- Fax
- (605) 537-4890
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 Rosholt, SD
Related
Questions
What is the CLIA number for Countryside Inn Assisted and in Rosholt?
43D1064935, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Countryside Inn Assisted and hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 43D1064935 expire?
The CMS file lists February 15, 2027 as the certificate expiration date; the certificate took effect February 16, 2025.