AVERA MEDICAL GROUP BROOKINGS
NPI 1063782373
Clinical Medical Laboratory in Brookings, SD
About Avera Medical Group Brookings NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AVERA MEDICAL GROUP BROOKINGS (NPI 1063782373) is a healthcare organization registered as a clinical medical laboratory in Brookings, South Dakota and active in the NPI registry since January 2012. The organization holds a CLIA Microscopy certificate valid through August 18, 2026 and lists Julie Norton, Vp Executive, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Other Names 1
Other Identifiers 1
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 43D2117626
- Facility Type
- Physician Office
- Certificate Effective Date
- August 19, 2024
- Certificate Expiration Date
- August 18, 2026
- Laboratory Director
- TARA HAARSMA
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Avera Medical Group Brookings in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063782373, enumerated as an "organization" on January 03, 2012.
The provider is located at 400 22ND AVE BROOKINGS, SD 57006 and the phone number is (605) 697-9500.
Clinical Medical Laboratory with taxonomy code 291U00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
