35D0689384 CLIA NUMBER - ST ROSE CARE CENTER

Laboratory Demographics

  • CLIA Code: 35D0689384
  • Facility Name: ST ROSE CARE CENTER
  • Facility Address: 315 1ST ST SE
    LAMOURE, ND
    ZIP 58458
  • Facility Phone: 701 883-5363
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. TARA MERTZ-HACK
  • NPI Number: 1679563993
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 35D0689384
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ST ROSE CARE CENTER
Street 315 1ST ST SE
City LAMOURE
State ND
ZIP 58458
Phone 701 883-5363
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2024
Certificate Expiration Date 7/15/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. TARA MERTZ-HACK

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