35D0408522 CLIA NUMBER - MYALLY HEALTH

Laboratory Demographics

  • CLIA Code: 35D0408522
  • Facility Name: MYALLY HEALTH
  • Facility Address: 4700 S WASHINGTON ST, SUITE C
    GRAND FORKS, ND
    ZIP 58201
  • Facility Phone: 701 775-4251
  • Facility Type: Other
  • Facility Type: Microscopy
  • Lab Director: ANDREW V. GASPARINI
  • NPI Number: 1194922328
  • Taxonomy: 261QF0050X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 35D0408522
LAB Type Other
Facility Name MYALLY HEALTH
Street 4700 S WASHINGTON ST, SUITE C
City GRAND FORKS
State ND
ZIP 58201
Phone 701 775-4251
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Other
Lab Director ANDREW V. GASPARINI

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