35D1004544 CLIA NUMBER - SHERIDAN MEMORIAL HOME

Laboratory Demographics

CLIA Number: 35D1004544

Facility Name: SHERIDAN MEMORIAL HOME

Facility Address:
610 MAIN ST S
MCCLUSKY, ND
ZIP 58463
Get Directions

Facility Phone Number: 701 363-2703

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1144636051

Taxonomy: 251J00000X - Nursing Care
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.

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
CertificateType	4
CertificateEffectiveDate	9/30/2022
CertificateExpirationDate	9/29/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024