35D2022940 CLIA NUMBER - STELLAR HEALTHCARE

Laboratory Demographics

  • CLIA Code: 35D2022940
  • Facility Name: STELLAR HEALTHCARE
  • Facility Address: 3274 51ST ST S
    FARGO, ND
    ZIP 58104
  • Facility Phone: 701 364-3660
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MELISSA R. ERDMANN
  • NPI Number: 1760781033
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 35D2022940
LAB Type Practitioner Other
Facility Name STELLAR HEALTHCARE
Street 3274 51ST ST S
City FARGO
State ND
ZIP 58104
Phone 701 364-3660
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2025
Certificate Expiration Date 4/12/2027
Facility Type Practitioner Other
Lab Director MELISSA R. ERDMANN

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