35D1104089 CLIA NUMBER - GRAND FORKS VA OUTPATIENT CLINIC

Laboratory Demographics

  • CLIA Code: 35D1104089
  • Facility Name: GRAND FORKS VA OUTPATIENT CLINIC
  • Facility Address: 3221 32ND AVE SOUTH
    GRAND FORKS, ND
    ZIP 58201
  • Facility Phone: 701 335-4380
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: JAMES H. BERRO
  • NPI Number: 1447727946
  • Taxonomy: 367500000X - Nurse Anesthetist, Certified Registered

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CLIA Record

Field Name Field Value
CLIA Number 35D1104089
LAB Type Community Clinic
Facility Name GRAND FORKS VA OUTPATIENT CLINIC
Street 3221 32ND AVE SOUTH
City GRAND FORKS
State ND
ZIP 58201
Phone 701 335-4380
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 8/25/2009
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director JAMES H. BERRO

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