35D1021806 CLIA NUMBER - BISMARCK HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 35D1021806
  • Facility Name: BISMARCK HEALTH CENTER
  • Facility Address: 811 E INTERSTATE AVE
    BISMARCK, ND
    ZIP 58503
  • Facility Phone: 701 391-7939
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KURT G. DATZ
  • NPI Number: 1477089126
  • Taxonomy: 261QA1903X - Clinic/Center

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2024
Certificate Expiration Date 6/17/2026
Facility Type Physician Office
Lab Director KURT G. DATZ

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