AVERA GRASSLAND DIAGNOSTICS
NPI 1649577297
Clinical Medical Laboratory in Mitchell, SD

Active since February 17, 2011CLIA 43D0407438 · Accreditation
1900 GRASSLAND DR., MITCHELL, SD 57301(605) 995-7000 Get Directions Write a Review

NPPES record last updated: August 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 20, 2020, Mar 29, 2016 (2 updates tracked since 2016).

About Avera Grassland Diagnostics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVERA GRASSLAND DIAGNOSTICS (NPI 1649577297) is a healthcare organization registered as a clinical medical laboratory in Mitchell, South Dakota and active in the NPI registry since February 2011. The organization holds an CLIA Accreditation certificate valid through January 13, 2027 and lists Douglas Ekeren, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1649577297
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameAVERA QUEEN OF PEACE
Location Address1900 GRASSLAND DR.Mitchell, SD 57301-6205
Mailing Address525 N Foster StMitchell, SD 57301-2966 · (605) 995-2000 · Fax (605) 995-2441
Organization SubpartNo
Authorized OfficialDouglas EkerenPresident/ceo · (605) 668-8322
Enumeration DateFebruary 17, 2011
Last NPPES UpdateAugust 20, 20202 updates tracked since enumeration
NPPES CertifiedAugust 20, 2020
NPI 1649577297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(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.
Also ListedClinic/Center · RadiologyTaxonomy 261QR0200X · License 63654 (SD)
1900 GRASSLAND DR., Mitchell, SD 57301

Other Names 1

Doing Business AsAvera Grassland Diagnostics

Other Identifiers 1

Medicaid1649577297SD

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 43D0407438

Avera Grassland Diagnostic · Mitchell, SD
Active · expires Jan 13, 2027
CLIA Number43D0407438
Laboratory TypeIndependent
Certificate Effective DateJanuary 14, 2025
Certificate Expiration DateJanuary 13, 2027
Laboratory DirectorDr. Brian J. Tjarks
Laboratory Phone(605) 995-7061
Laboratory LocationAvera Grassland Diagnostic1900 Grassland Drive, Mitchell, SD 57301
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avera Queen Of Peace's NPI number?

The NPI number for Avera Queen Of Peace is 1649577297. It was assigned to this organization in the NPPES registry on February 17, 2011. The provider is doing business as Avera Grassland Diagnostics.

Where is Avera Queen Of Peace located?

Avera Queen Of Peace is located at 1900 Grassland Dr., Mitchell, SD 57301. The listed phone number is (605) 995-7000.

What is Avera Queen Of Peace's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Avera Queen Of Peace hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 43D0407438) is associated with this NPI, valid through January 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Avera Queen Of Peace accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Avera Health Plans and 3 other insurers list Avera Queen Of Peace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Avera Queen Of Peace was last updated on August 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.