35D0877350 CLIA NUMBER - ST ANNES GUEST HOME

Laboratory Demographics

  • CLIA Code: 35D0877350
  • Facility Name: ST ANNES GUEST HOME
  • Facility Address: 524 N 17TH ST
    GRAND FORKS, ND
    ZIP 58203
  • Facility Phone: 701 746-9401
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SISTER REBECCA M. METZGER
  • NPI Number: 1518373224
  • Taxonomy: 311Z00000X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 35D0877350
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ST ANNES GUEST HOME
Street 524 N 17TH ST
City GRAND FORKS
State ND
ZIP 58203
Phone 701 746-9401
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2025
Certificate Expiration Date 9/29/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SISTER REBECCA M. METZGER

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