35D0408197 CLIA NUMBER - SANFORD HEALTH GWINNER CLINIC

Laboratory Demographics

CLIA Number: 35D0408197

Facility Name: SANFORD HEALTH GWINNER CLINIC

Facility Address:
69 HWY 13 W
GWINNER, ND
ZIP 58040
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Facility Phone Number: 701 678-2263

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1780690305

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	35D0408197
LAB Type	Community Clinic
Facility Name	SANFORD HEALTH GWINNER CLINIC
Street	69 HWY 13 W
City	GWINNER
State	ND
ZIP	58040
Phone	701 678-2263
CertificateType	4
CertificateEffectiveDate	5/3/2024
CertificateExpirationDate	5/2/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024