35D0655707 CLIA NUMBER - WEST RIVER HEALTH SERVICES MOTT CLINIC

Laboratory Demographics

  • CLIA Code: 35D0655707
  • Facility Name: WEST RIVER HEALTH SERVICES MOTT CLINIC
  • Facility Address: 401 MILLIONAIRE AVE, SUITE B
    MOTT, ND
    ZIP 58646
  • Facility Phone: 701 824-2391
  • Facility Type: Rural Health Clinic
  • Facility Type: Certificate of Compliance
  • Lab Director: BEKKI E. HOLZKAMM
  • NPI Number: 1942398508
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 35D0655707
LAB Type Rural Health Clinic
Facility Name WEST RIVER HEALTH SERVICES MOTT CLINIC
Street 401 MILLIONAIRE AVE, SUITE B
City MOTT
State ND
ZIP 58646
Phone 701 824-2391
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/14/2024
Certificate Expiration Date 2/13/2026
Facility Type Rural Health Clinic
Lab Director BEKKI E. HOLZKAMM

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