35D0966678 CLIA NUMBER - SHIPLEY BASIC CARE DBA ROSEADELE

Laboratory Demographics

  • CLIA Code: 35D0966678
  • Facility Name: SHIPLEY BASIC CARE DBA ROSEADELE
  • Facility Address: 1505 3RD ST SE
    JAMESTOWN, ND
    ZIP 58401
  • Facility Phone: (701) 251-1741
  • Facility Type: Other - BASIC CARE
  • Facility Type: Waiver
  • Lab Director: JORDAN W. SHIPLEY
  • NPI Number: 1548426430
  • Taxonomy: 311Z00000X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 35D0966678
LAB Type Other - BASIC CARE
Facility Name SHIPLEY BASIC CARE DBA ROSEADELE
Street 1505 3RD ST SE
City JAMESTOWN
State ND
ZIP 58401
Phone 7012511741
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2025
Certificate Expiration Date 10/24/2027
Facility Type Other - BASIC CARE
Lab Director JORDAN W. SHIPLEY

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This page was last updated on: 5/18/2026