35D0408629 CLIA NUMBER - ALTRU CLINIC - DEVILS LAKE

Laboratory Demographics

  • CLIA Code: 35D0408629
  • Facility Name: ALTRU CLINIC - DEVILS LAKE
  • Facility Address: 1001 7TH ST NE
    DEVILS LAKE, ND
    ZIP 58301
  • Facility Phone: 701 665-5902
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: KEVIN TYLER
  • NPI Number: 1912632449
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 35D0408629
LAB Type Physician Office
Facility Name ALTRU CLINIC - DEVILS LAKE
Street 1001 7TH ST NE
City DEVILS LAKE
State ND
ZIP 58301
Phone 701 665-5902
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 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director KEVIN TYLER

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