Individual provider · Type 1 NPI

Kacy Peterson, DCLS

Clinical Laboratory Director (Non-physician) · Sioux Falls, SD

NPI number 1114860277 Active

Practice location

1301 S Cliff Ave
Sioux Falls, SD 57105-1005

Call (605) 322-7068 Map

Mailing address

2817 E Sunflower Cir
Brandon, SD 57005-6709

Specialties and licenses

TaxonomyCodeLicense
Clinical Laboratory Director (Non-physician) Primary 247ZC0005XNone listed

Clinical Laboratory Director (Non-physician): An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.

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About NPI 1114860277

Kacy Peterson, DCLS's National Provider Identifier is 1114860277, issued on Apr 13, 2026. The primary taxonomy on file is Clinical Laboratory Director (Non-physician) (247ZC0005X), and the practice location is in Sioux Falls, SD. The record was last updated on Apr 13, 2026.