35D1021806 CLIA NUMBER - BISMARCK HEALTH CENTER

Laboratory Demographics

CLIA Number: 35D1021806

Facility Name: BISMARCK HEALTH CENTER

Facility Address:
811 E INTERSTATE AVE
BISMARCK, ND
ZIP 58503
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Facility Phone Number: 701 391-7939

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1477089126

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	35D1021806
LAB Type	Physician Office
Facility Name	BISMARCK HEALTH CENTER
Street	811 E INTERSTATE AVE
City	BISMARCK
State	ND
ZIP	58503
Phone	701 391-7939
CertificateType	4
CertificateEffectiveDate	6/18/2022
CertificateExpirationDate	6/17/2024
FacilityType	Waiver

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