35D0409120 CLIA NUMBER - WEST RIVER HEALTH SERVICES SCRANTON CLINIC

Laboratory Demographics

  • CLIA Code: 35D0409120
  • Facility Name: WEST RIVER HEALTH SERVICES SCRANTON CLINIC
  • Facility Address: 211 MAIN ST
    SCRANTON, ND
    ZIP 58653
  • Facility Phone: 701 275-6336
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: BEKKI E. HOLZKAMM
  • NPI Number: 1760570394
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 35D0409120
LAB Type Rural Health Clinic
Facility Name WEST RIVER HEALTH SERVICES SCRANTON CLINIC
Street 211 MAIN ST
City SCRANTON
State ND
ZIP 58653
Phone 701 275-6336
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2025
Certificate Expiration Date 5/31/2027
Facility Type Rural Health Clinic
Lab Director BEKKI E. HOLZKAMM

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