35D0408586 CLIA NUMBER - MAPLE MANOR CARE CENTER

Laboratory Demographics

  • CLIA Code: 35D0408586
  • Facility Name: MAPLE MANOR CARE CENTER
  • Facility Address: 1116 9TH AVE
    LANGDON, ND
    ZIP 58249
  • Facility Phone: (701) 256-5300
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DAWN BUNN
  • NPI Number: 1326049248
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 35D0408586
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MAPLE MANOR CARE CENTER
Street 1116 9TH AVE
City LANGDON
State ND
ZIP 58249
Phone 7012565300
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 DAWN BUNN

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This page was last updated on: 5/18/2026