35D1026068 CLIA NUMBER - HEARTLAND DIAGNOSTIC SERVICES LLC

Laboratory Demographics

  • CLIA Code: 35D1026068
  • Facility Name: HEARTLAND DIAGNOSTIC SERVICES LLC
  • Facility Address: 3290 20TH ST S
    FARGO, ND
    ZIP 58104
  • Facility Phone: 701 499-4833
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: HOADLEY HARRIS
  • NPI Number: 1033386859
  • Taxonomy: 2471C3402X - Radiologic Technologist

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CLIA Record

Field Name Field Value
CLIA Number 35D1026068
LAB Type Independent
Facility Name HEARTLAND DIAGNOSTIC SERVICES LLC
Street 3290 20TH ST S
City FARGO
State ND
ZIP 58104
Phone 701 499-4833
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2024
Certificate Expiration Date 8/24/2026
Facility Type Independent
Lab Director HOADLEY HARRIS

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This page was last updated on: 6/4/2025