35D0408197 CLIA NUMBER - SANFORD GWINNER CLINIC

Laboratory Demographics

  • CLIA Code: 35D0408197
  • Facility Name: SANFORD GWINNER CLINIC
  • Facility Address: 69 HWY 13 W
    GWINNER, ND
    ZIP 58040
  • Facility Phone: 701 678-2263
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: KAYLEE BRETZ
  • NPI Number: 1780690305
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 35D0408197
LAB Type Community Clinic
Facility Name SANFORD GWINNER CLINIC
Street 69 HWY 13 W
City GWINNER
State ND
ZIP 58040
Phone 701 678-2263
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2024
Certificate Expiration Date 5/2/2026
Facility Type Community Clinic
Lab Director KAYLEE BRETZ

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