35D0655703 CLIA NUMBER - WEST RIVER HEALTH SERVICES BOWMAN CLINIC

Laboratory Demographics

CLIA Number: 35D0655703

Facility Name: WEST RIVER HEALTH SERVICES BOWMAN CLINIC

Facility Address:
608 HWY 12 W
BOWMAN, ND
ZIP 58623
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Facility Phone Number: 701 523-3271

Facility Type: Rural Health Clinic

Certificate Type: Certificate of Compliance

NPI Number: 1497856025

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 35D0655703
LAB Type Rural Health Clinic
Facility Name WEST RIVER HEALTH SERVICES BOWMAN CLINIC
Street 608 HWY 12 W
City BOWMAN
State ND
ZIP 58623
Phone 701 523-3271
CertificateType 2
CertificateEffectiveDate 2/13/2024
CertificateExpirationDate 2/12/2026
FacilityType Compliance

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