35D0409009 CLIA NUMBER - ELM CREST MANOR

Laboratory Demographics

  • CLIA Code: 35D0409009
  • Facility Name: ELM CREST MANOR
  • Facility Address: 100 ELM AVE
    NEW SALEM, ND
    ZIP 58563
  • Facility Phone: 701 843-7526
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CHARITY BRAUN
  • NPI Number: 1144218769
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 35D0409009
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ELM CREST MANOR
Street 100 ELM AVE
City NEW SALEM
State ND
ZIP 58563
Phone 701 843-7526
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 CHARITY BRAUN

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