35D0706559 CLIA NUMBER - JAMESTOWN REGIONAL MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 35D0706559
  • Facility Name: JAMESTOWN REGIONAL MEDICAL CENTER
  • Facility Address: 2422 20TH ST SW
    JAMESTOWN, ND
    ZIP 58401
  • Facility Phone: 701 952-4779
  • Facility Type: Other - HOME HEALTH & HOSPICE
  • Facility Type: Waiver
  • Lab Director: MALLORY M. SCHULTZ
  • NPI Number: 1831585660
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 35D0706559
LAB Type Other - HOME HEALTH & HOSPICE
Facility Name JAMESTOWN REGIONAL MEDICAL CENTER
Street 2422 20TH ST SW
City JAMESTOWN
State ND
ZIP 58401
Phone 701 952-4779
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2023
Certificate Expiration Date 11/3/2025
Facility Type Other - HOME HEALTH & HOSPICE
Lab Director MALLORY M. SCHULTZ

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