35D0977261 CLIA NUMBER - HEALTHWAYS

Laboratory Demographics

  • CLIA Code: 35D0977261
  • Facility Name: HEALTHWAYS
  • Facility Address: 1033 BASIN AVE
    BISMARCK, ND
    ZIP 58504
  • Facility Phone: 701 223-6613
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: TROY A. WOLLMANN
  • NPI Number: 1881668283
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 35D0977261
LAB Type Practitioner Other
Facility Name HEALTHWAYS
Street 1033 BASIN AVE
City BISMARCK
State ND
ZIP 58504
Phone 701 223-6613
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2024
Certificate Expiration Date 8/22/2026
Facility Type Practitioner Other
Lab Director TROY A. WOLLMANN

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