35D0408810 CLIA NUMBER - WISHEK LIVING CENTER

Laboratory Demographics

  • CLIA Code: 35D0408810
  • Facility Name: WISHEK LIVING CENTER
  • Facility Address: 400 4TH ST S
    WISHEK, ND
    ZIP 58495
  • Facility Phone: 701 452-2333
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Microscopy
  • Lab Director: DR DONALD KOSIAK
  • NPI Number: 1417991647
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 35D0408810
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WISHEK LIVING CENTER
Street 400 4TH ST S
City WISHEK
State ND
ZIP 58495
Phone 701 452-2333
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 Skilled Nursing Facility/Nursing Facility
Lab Director DR DONALD KOSIAK

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