35D0408596 CLIA NUMBER - LUTHER MEMORIAL HOME

Laboratory Demographics

  • CLIA Code: 35D0408596
  • Facility Name: LUTHER MEMORIAL HOME
  • Facility Address: 750 MAIN ST E
    MAYVILLE, ND
    ZIP 58257
  • Facility Phone: (701) 786-3401
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: BRITTANY NESS
  • NPI Number: 1497755185
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 35D0408596
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LUTHER MEMORIAL HOME
Street 750 MAIN ST E
City MAYVILLE
State ND
ZIP 58257
Phone 7017863401
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 BRITTANY NESS

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This page was last updated on: 6/29/2026