35D0684416 CLIA NUMBER - BENEDICTINE LIVING COMMUNITY - DICKINSON

Laboratory Demographics

  • CLIA Code: 35D0684416
  • Facility Name: BENEDICTINE LIVING COMMUNITY - DICKINSON
  • Facility Address: 851 4TH AVE E
    DICKINSON, ND
    ZIP 58601
  • Facility Phone: 701 225-5138
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CHRISTINE JAS
  • NPI Number: 1578554374
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 35D0684416
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BENEDICTINE LIVING COMMUNITY - DICKINSON
Street 851 4TH AVE E
City DICKINSON
State ND
ZIP 58601
Phone 701 225-5138
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 Skilled Nursing Facility/Nursing Facility
Lab Director CHRISTINE JAS

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