CLIA lab
CLIA 43D2331048: Legacy Medical Lab - Belle Fourche
Belle Fourche, SD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 43D2331048 belongs to Legacy Medical Lab - Belle Fourche in Belle Fourche, SD.
Certificate of Waiver, effective September 25, 2025, expires September 24, 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
- September 25, 2025
- Certificate expiration
- September 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 25, 2025
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 43D2331048
- Lab name
- Legacy Medical Lab - Belle Fourche
- Address
- 10907 Sourdough Road Suite 1, Belle Fourche, SD 57717
- Phone
- (701) 516-4637
- Fax
- (877) 651-1381
Annual test volume the lab reported
- Waived tests
- 1,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Belle Fourche, SD
- Belle EstateCertificate of Waiver, Assisted living facility43D2196771
- Butte County Ambulance - Belle Fourche DivisionCertificate of Waiver, Ambulance43D1049518
- Monument Health Belle Fourche ClinicCertificate of Accreditation, Rural health clinic43D0041684
- Mrsh Belle Fourche, LLCCertificate of Waiver, Skilled nursing or nursing facility43D2016942
- Prairie Hills PharmacyCertificate of Waiver, Pharmacy43D2176384
- Tri State Medical Center PLLCCertificate of Waiver, Other practitioner43D2292092
Related
Questions
What is the CLIA number for Legacy Medical Lab - Belle Fourche in Belle Fourche?
43D2331048, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Legacy Medical Lab - Belle Fourche hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 43D2331048 expire?
The CMS file lists September 24, 2027 as the certificate expiration date; the certificate took effect September 25, 2025.