35D0695365 CLIA NUMBER - WESTERN PLAINS PUBLIC HEALTH

Laboratory Demographics

CLIA Number: 35D0695365

Facility Name: WESTERN PLAINS PUBLIC HEALTH

Facility Address:
403 BURLINGTON ST SE
MANDAN, ND
ZIP 58554
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Facility Phone Number: 701 663-3370

Facility Type: Other - LOCAL HEALTH DEPT

Certificate Type: Waiver

NPI Number: 1659379436

Taxonomy: 251K00000X - Public Health or Welfare

CLIA Record

Field Name	Field Value
CLIA Number	35D0695365
LAB Type	Other - LOCAL HEALTH DEPT
Facility Name	WESTERN PLAINS PUBLIC HEALTH
Street	403 BURLINGTON ST SE
City	MANDAN
State	ND
ZIP	58554
Phone	701 663-3370
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024