35D0674297 CLIA NUMBER - SANFORD HOME CARE

Laboratory Demographics

  • CLIA Code: 35D0674297
  • Facility Name: SANFORD HOME CARE
  • Facility Address: 910 18TH STREET NW
    MANDAN, ND
    ZIP 58554
  • Facility Phone: 701 323-8400
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: BRANDI ELLISON
  • NPI Number: 1669555744
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 35D0674297
LAB Type Home Health Agency
Facility Name SANFORD HOME CARE
Street 910 18TH STREET NW
City MANDAN
State ND
ZIP 58554
Phone 701 323-8400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/4/2025
Certificate Expiration Date 9/3/2027
Facility Type Home Health Agency
Lab Director BRANDI ELLISON

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