35D1022340 CLIA NUMBER - MISSOURI SLOPE

Laboratory Demographics

  • CLIA Code: 35D1022340
  • Facility Name: MISSOURI SLOPE
  • Facility Address: 2500 VALLEY VIEW AVE
    BISMARCK, ND
    ZIP 58501
  • Facility Phone: 701 221-3018
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KAITLYN R. GREEN
  • NPI Number: 1952413585
  • Taxonomy: 207L00000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 35D1022340
LAB Type Assisted Living Facility
Facility Name MISSOURI SLOPE
Street 2500 VALLEY VIEW AVE
City BISMARCK
State ND
ZIP 58501
Phone 701 221-3018
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2024
Certificate Expiration Date 1/7/2026
Facility Type Assisted Living Facility
Lab Director KAITLYN R. GREEN

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