35D0408766 CLIA NUMBER - MANOR ST JOSEPH

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Field Name	Field Value
CLIA Number	35D0408766
LAB Type	Other
Facility Name	MANOR ST JOSEPH
Street	P O BOX 305
City	EDGELEY
State	ND
ZIP	58433
Phone	701 493-2477
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	Other
Lab Director	TAMMY A. JANGULA

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