35D1092876 CLIA NUMBER - PARK RIVER FAMILY CLINIC

Laboratory Demographics

  • CLIA Code: 35D1092876
  • Facility Name: PARK RIVER FAMILY CLINIC
  • Facility Address: 503 PARK ST
    PARK RIVER, ND
    ZIP 58270
  • Facility Phone: 701 284-6663
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JANET M. NELSON
  • NPI Number: 1821637828
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 35D1092876
LAB Type Physician Office
Facility Name PARK RIVER FAMILY CLINIC
Street 503 PARK ST
City PARK RIVER
State ND
ZIP 58270
Phone 701 284-6663
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2024
Certificate Expiration Date 12/3/2026
Facility Type Physician Office
Lab Director JANET M. NELSON

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