24D2290864 CLIA NUMBER - PRAIRIE NATUROPATHIC DOCTORS

Laboratory Demographics

  • CLIA Code: 24D2290864
  • Facility Name: PRAIRIE NATUROPATHIC DOCTORS
  • Facility Address: 1506 30TH AVE S
    MOORHEAD, MN
    ZIP 56560
  • Facility Phone: 218 284-1188
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: TODD FERGUSON
  • NPI Number: 1861936866
  • Taxonomy: 176B00000X - Midwife

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CLIA Record

Field Name Field Value
CLIA Number 24D2290864
LAB Type Practitioner Other
Facility Name PRAIRIE NATUROPATHIC DOCTORS
Street 1506 30TH AVE S
City MOORHEAD
State MN
ZIP 56560
Phone 218 284-1188
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2025
Certificate Expiration Date 10/2/2027
Facility Type Practitioner Other
Lab Director TODD FERGUSON

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This page was last updated on: 9/29/2025