CLIA lab
CLIA 43D2079787: Mobridge Clinc - Avera ST Lukes Pain Center Outrea
Mobridge, SD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 43D2079787 belongs to Mobridge Clinc - Avera ST Lukes Pain Center Outrea in Mobridge, SD.
Certificate of Waiver, effective June 24, 2026, expires June 23, 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
- June 24, 2026
- Certificate expiration
- June 23, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 24, 2014
- 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
- 43D2079787
- Lab name
- Mobridge Clinc - Avera ST Lukes Pain Center Outrea
- Address
- 1309 1OTH Avenue, Mobridge, SD 57601
- Phone
- (605) 622-5123
- Fax
- (605) 622-5906
Annual test volume the lab reported
- Waived tests
- 150
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Mobridge, SD
Related
Questions
What is the CLIA number for Mobridge Clinc - Avera ST Lukes Pain Center Outrea in Mobridge?
43D2079787, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mobridge Clinc - Avera ST Lukes Pain Center Outrea hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 43D2079787 expire?
The CMS file lists June 23, 2028 as the certificate expiration date; the certificate took effect June 24, 2026.