35D2007061 CLIA NUMBER - CASS COUNTY JAIL

Laboratory Demographics

  • CLIA Code: 35D2007061
  • Facility Name: CASS COUNTY JAIL
  • Facility Address: 450 34TH ST S
    FARGO, ND
    ZIP 58103
  • Facility Phone: 701 271-2942
  • Facility Type: Other - COUNTY JAIL
  • Facility Type: Waiver
  • Lab Director: TANNER COPPIN
  • NPI Number: 1588041685
  • Taxonomy: 253J00000X - Foster Care Agency

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CLIA Record

Field Name Field Value
CLIA Number 35D2007061
LAB Type Other - COUNTY JAIL
Facility Name CASS COUNTY JAIL
Street 450 34TH ST S
City FARGO
State ND
ZIP 58103
Phone 701 271-2942
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/6/2024
Certificate Expiration Date 5/5/2026
Facility Type Other - COUNTY JAIL
Lab Director TANNER COPPIN

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