35D1076243 CLIA NUMBER - CHURCHILL PHARMACY INC

Laboratory Demographics

  • CLIA Code: 35D1076243
  • Facility Name: CHURCHILL PHARMACY INC
  • Facility Address: 1190 W TURNPIKE AVE
    BISMARCK, ND
    ZIP 58501
  • Facility Phone: 701 224-0339
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANIEL M. CHURCHILL
  • NPI Number: 1710056452
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 35D1076243
LAB Type Pharmacy
Facility Name CHURCHILL PHARMACY INC
Street 1190 W TURNPIKE AVE
City BISMARCK
State ND
ZIP 58501
Phone 701 224-0339
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2023
Certificate Expiration Date 11/7/2025
Facility Type Pharmacy
Lab Director DANIEL M. CHURCHILL

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