35D0959089 CLIA NUMBER - CENTRAL AVENUE PHARMACY

Laboratory Demographics

  • CLIA Code: 35D0959089
  • Facility Name: CENTRAL AVENUE PHARMACY
  • Facility Address: 323 N CENTRAL AVE, STE #101
    VALLEY CITY, ND
    ZIP 58072
  • Facility Phone: 701 845-5280
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DOREEN M. SAYLER
  • NPI Number: 1669546149
  • Taxonomy: 183500000X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 35D0959089
LAB Type Pharmacy
Facility Name CENTRAL AVENUE PHARMACY
Street 323 N CENTRAL AVE, STE #101
City VALLEY CITY
State ND
ZIP 58072
Phone 701 845-5280
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Pharmacy
Lab Director DOREEN M. SAYLER

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