35D0698920 CLIA NUMBER - EVENTIDE JAMESTOWN

Laboratory Demographics

  • CLIA Code: 35D0698920
  • Facility Name: EVENTIDE JAMESTOWN
  • Facility Address: 1300 2ND PLACE NE
    JAMESTOWN, ND
    ZIP 58401
  • Facility Phone: 701 252-5881
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ASHLEY WENTLAND
  • NPI Number: 1215256078
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 35D0698920
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name EVENTIDE JAMESTOWN
Street 1300 2ND PLACE NE
City JAMESTOWN
State ND
ZIP 58401
Phone 701 252-5881
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 ASHLEY WENTLAND

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