35D1009610 CLIA NUMBER - GATEWAY PHARMACY NORTH

Laboratory Demographics

  • CLIA Code: 35D1009610
  • Facility Name: GATEWAY PHARMACY NORTH
  • Facility Address: 3101 N 11TH ST
    BISMARCK, ND
    ZIP 58503
  • Facility Phone: 701 224-9521
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PATRICK M. BRUNELLE
  • NPI Number: 1205927571
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 35D1009610
LAB Type Pharmacy
Facility Name GATEWAY PHARMACY NORTH
Street 3101 N 11TH ST
City BISMARCK
State ND
ZIP 58503
Phone 701 224-9521
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/20/2025
Certificate Expiration Date 2/19/2027
Facility Type Pharmacy
Lab Director PATRICK M. BRUNELLE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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