35D0682804 CLIA NUMBER - SARGENT COUNTY DISTRICT HEALTH UNIT

Laboratory Demographics

  • CLIA Code: 35D0682804
  • Facility Name: SARGENT COUNTY DISTRICT HEALTH UNIT
  • Facility Address: 316 MAIN ST
    FORMAN, ND
    ZIP 58032
  • Facility Phone: 701 724-3725
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: BRENDA PETERSON
  • NPI Number: 1255469631
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 35D0682804
LAB Type Other
Facility Name SARGENT COUNTY DISTRICT HEALTH UNIT
Street 316 MAIN ST
City FORMAN
State ND
ZIP 58032
Phone 701 724-3725
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 Other
Lab Director BRENDA PETERSON

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