35D2002740 CLIA NUMBER - EVENTIDE DBA SHEYENNE CROSSINGS CARE CENTER/TCU

Laboratory Demographics

  • CLIA Code: 35D2002740
  • Facility Name: EVENTIDE DBA SHEYENNE CROSSINGS CARE CENTER/TCU
  • Facility Address: 125 13TH AVE W
    WEST FARGO, ND
    ZIP 58078
  • Facility Phone: 701 478-6000
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ALEXANDRA HEPPNER
  • NPI Number: 1942538608
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 35D2002740
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name EVENTIDE DBA SHEYENNE CROSSINGS CARE CENTER/TCU
Street 125 13TH AVE W
City WEST FARGO
State ND
ZIP 58078
Phone 701 478-6000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2024
Certificate Expiration Date 1/24/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ALEXANDRA HEPPNER

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