35D1065261 CLIA NUMBER - MAPLE VIEW II NORTH

Laboratory Demographics

  • CLIA Code: 35D1065261
  • Facility Name: MAPLE VIEW II NORTH
  • Facility Address: 4217 MONTREAL ST
    BISMARCK, ND
    ZIP 58503
  • Facility Phone: 701 223-4133
  • Facility Type: Other - BASIC CARE
  • Facility Type: Waiver
  • Lab Director: LANA CHARVAT
  • NPI Number: 1750988143
  • Taxonomy: 311500000X - Alzheimer Center (Dementia Center)

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CLIA Record

Field Name Field Value
CLIA Number 35D1065261
LAB Type Other - BASIC CARE
Facility Name MAPLE VIEW II NORTH
Street 4217 MONTREAL ST
City BISMARCK
State ND
ZIP 58503
Phone 701 223-4133
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2025
Certificate Expiration Date 2/25/2027
Facility Type Other - BASIC CARE
Lab Director LANA CHARVAT

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