35D1004544 CLIA NUMBER - SHERIDAN MEMORIAL HOME

Laboratory Demographics

  • CLIA Code: 35D1004544
  • Facility Name: SHERIDAN MEMORIAL HOME
  • Facility Address: 610 MAIN ST S
    MCCLUSKY, ND
    ZIP 58463
  • Facility Phone: 701 363-2703
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: MELISSA A. AXT
  • NPI Number: 1144636051
  • Taxonomy: 251J00000X - Nursing Care

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CLIA Record

Field Name Field Value
CLIA Number 35D1004544
LAB Type Other
Facility Name SHERIDAN MEMORIAL HOME
Street 610 MAIN ST S
City MCCLUSKY
State ND
ZIP 58463
Phone 701 363-2703
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2024
Certificate Expiration Date 9/29/2026
Facility Type Other
Lab Director MELISSA A. AXT

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