35D2018072 CLIA NUMBER - GOLDEN MANOR INC

Laboratory Demographics

  • CLIA Code: 35D2018072
  • Facility Name: GOLDEN MANOR INC
  • Facility Address: 214 4TH ST NW
    STEELE, ND
    ZIP 58482
  • Facility Phone: 701 475-2251
  • Facility Type: Other - BASIC CARE FACILITY
  • Facility Type: Waiver
  • Lab Director: TRACY PATZNER
  • NPI Number: 1134437932
  • Taxonomy: 311Z00000X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 35D2018072
LAB Type Other - BASIC CARE FACILITY
Facility Name GOLDEN MANOR INC
Street 214 4TH ST NW
City STEELE
State ND
ZIP 58482
Phone 701 475-2251
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2024
Certificate Expiration Date 12/21/2026
Facility Type Other - BASIC CARE FACILITY
Lab Director TRACY PATZNER

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