35D2010851 CLIA NUMBER - TRINITY HEALTH - SOUTHRIDGE

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Field Name	Field Value
CLIA Number	35D2010851
LAB Type	Physician Office
Facility Name	TRINITY HEALTH - SOUTHRIDGE
Street	1500 24TH AVE SW
City	MINOT
State	ND
ZIP	58701
Phone	701 857-5343
Certificate Type	Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description	This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date	3/31/2025
Certificate Expiration Date	3/30/2027
Facility Type	Physician Office
Lab Director	ELLEN R. SIGAUKE

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