35D0667224 CLIA NUMBER - GRAND FORKS PUBLIC HEALTH DEPARTMENT

Laboratory Demographics

CLIA Number: 35D0667224

Facility Name: GRAND FORKS PUBLIC HEALTH DEPARTMENT

Facility Address:
151 S 4TH ST STE N301
GRAND FORKS, ND
ZIP 58201
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Facility Phone Number: 701 787-8100

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1801907720

Taxonomy: 251K00000X - Public Health or Welfare

CLIA Record

Field Name	Field Value
CLIA Number	35D0667224
LAB Type	Other
Facility Name	GRAND FORKS PUBLIC HEALTH DEPARTMENT
Street	151 S 4TH ST STE N301
City	GRAND FORKS
State	ND
ZIP	58201
Phone	701 787-8100
CertificateType	4
CertificateEffectiveDate	3/26/2024
CertificateExpirationDate	3/25/2026
FacilityType	Waiver

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