35D0655661 CLIA NUMBER - ANNE CARLSEN CENTER FOR CHILDREN

Laboratory Demographics

  • CLIA Code: 35D0655661
  • Facility Name: ANNE CARLSEN CENTER FOR CHILDREN
  • Facility Address: 701 3RD ST NW
    JAMESTOWN, ND
    ZIP 58401
  • Facility Phone: 701 252-3850
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: AMANDA SERFOSS
  • NPI Number: 1316117542
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 35D0655661
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name ANNE CARLSEN CENTER FOR CHILDREN
Street 701 3RD ST NW
City JAMESTOWN
State ND
ZIP 58401
Phone 701 252-3850
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 Intermediate Care Facility for Mentally Retarded
Lab Director AMANDA SERFOSS

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