35D0408455 CLIA NUMBER - SMP HEALTH - ST CATHERINE SOUTH

Laboratory Demographics

  • CLIA Code: 35D0408455
  • Facility Name: SMP HEALTH - ST CATHERINE SOUTH
  • Facility Address: 3102 S UNIVERSITY DR
    FARGO, ND
    ZIP 58103
  • Facility Phone: 701 293-7750
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CHELSEA ERTELT
  • NPI Number: 1053316497
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 35D0408455
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SMP HEALTH - ST CATHERINE SOUTH
Street 3102 S UNIVERSITY DR
City FARGO
State ND
ZIP 58103
Phone 701 293-7750
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director CHELSEA ERTELT

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This page was last updated on: 6/4/2025