35D0684528 CLIA NUMBER - PARKSIDE LUTHERAN HOME

Laboratory Demographics

  • CLIA Code: 35D0684528
  • Facility Name: PARKSIDE LUTHERAN HOME
  • Facility Address: 501 3RD AVE W
    LISBON, ND
    ZIP 58054
  • Facility Phone: 701 683-5239
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JULIE HIEGGELKE
  • NPI Number: 1487658324
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 35D0684528
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PARKSIDE LUTHERAN HOME
Street 501 3RD AVE W
City LISBON
State ND
ZIP 58054
Phone 701 683-5239
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 JULIE HIEGGELKE

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