35D0408393 CLIA NUMBER - INTERNAL MEDICINE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 35D0408393
  • Facility Name: INTERNAL MEDICINE ASSOCIATES
  • Facility Address: 4450 31ST AVE S SUITE 102
    FARGO, ND
    ZIP 58104
  • Facility Phone: 701 235-7416
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: ADELINE TESKE
  • NPI Number: 1144313743
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 35D0408393
LAB Type Physician Office
Facility Name INTERNAL MEDICINE ASSOCIATES
Street 4450 31ST AVE S SUITE 102
City FARGO
State ND
ZIP 58104
Phone 701 235-7416
Certificate Type Certificate of Accreditation
Certificate Type Description 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.
Certificate Effective Date 8/21/2024
Certificate Expiration Date 8/20/2026
Facility Type Physician Office
Lab Director ADELINE TESKE

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