35D0868583 CLIA NUMBER - BORG PIONEER MEMORIAL HOME

Laboratory Demographics

  • CLIA Code: 35D0868583
  • Facility Name: BORG PIONEER MEMORIAL HOME
  • Facility Address: 61 BORG DRIVE
    MOUNTAIN, ND
    ZIP 58262
  • Facility Phone: 701 993-8345
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SARA STEVENSON
  • NPI Number: 1578998753
  • Taxonomy: 311Z00000X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 35D0868583
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BORG PIONEER MEMORIAL HOME
Street 61 BORG DRIVE
City MOUNTAIN
State ND
ZIP 58262
Phone 701 993-8345
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 SARA STEVENSON

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