35D0962190 CLIA NUMBER - DAKOTA PHARMACY OF BISMARCK INC

Laboratory Demographics

  • CLIA Code: 35D0962190
  • Facility Name: DAKOTA PHARMACY OF BISMARCK INC
  • Facility Address: 705 E MAIN AVE
    BISMARCK, ND
    ZIP 58501
  • Facility Phone: 701 255-1881
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KEVIN J. OBERLANDER
  • NPI Number: 1548202369
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 35D0962190
LAB Type Pharmacy
Facility Name DAKOTA PHARMACY OF BISMARCK INC
Street 705 E MAIN AVE
City BISMARCK
State ND
ZIP 58501
Phone 701 255-1881
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2025
Certificate Expiration Date 6/24/2027
Facility Type Pharmacy
Lab Director KEVIN J. OBERLANDER

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This page was last updated on: 6/4/2025