35D0408853 CLIA NUMBER - BISMARCK-BURLEIGH PUBLIC HEALTH

Laboratory Demographics

CLIA Number: 35D0408853

Facility Name: BISMARCK-BURLEIGH PUBLIC HEALTH

Facility Address:
407 S 26TH ST
BISMARCK, ND
ZIP 58504
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Facility Phone Number: 701 222-6525

Facility Type: Public Health Laboratories

Certificate Type: Waiver

NPI Number: 1538518857

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	35D0408853
LAB Type	Public Health Laboratories
Facility Name	BISMARCK-BURLEIGH PUBLIC HEALTH
Street	407 S 26TH ST
City	BISMARCK
State	ND
ZIP	58504
Phone	701 222-6525
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024