35D1083350 CLIA NUMBER - BERGSTROM EYE & LASER CLINIC

Laboratory Demographics

  • CLIA Code: 35D1083350
  • Facility Name: BERGSTROM EYE & LASER CLINIC
  • Facility Address: 2601 S UNIVERSITY
    FARGO, ND
    ZIP 58103
  • Facility Phone: 701 235-5200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. LANCE K. BERGSTROM
  • NPI Number: 1801819826
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 35D1083350
LAB Type Physician Office
Facility Name BERGSTROM EYE & LASER CLINIC
Street 2601 S UNIVERSITY
City FARGO
State ND
ZIP 58103
Phone 701 235-5200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2024
Certificate Expiration Date 4/30/2026
Facility Type Physician Office
Lab Director DR. LANCE K. BERGSTROM

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