35D2028876 CLIA NUMBER - TRINITY ORAL AND FACIAL SURGERY

Laboratory Demographics

  • CLIA Code: 35D2028876
  • Facility Name: TRINITY ORAL AND FACIAL SURGERY
  • Facility Address: 2815 16TH ST SW SUITE #100
    MINOT, ND
    ZIP 58701
  • Facility Phone: 701 857-2900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELLEN SIGAUKE
  • NPI Number: 1245272277
  • Taxonomy: 261QS0112X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 35D2028876
LAB Type Physician Office
Facility Name TRINITY ORAL AND FACIAL SURGERY
Street 2815 16TH ST SW SUITE #100
City MINOT
State ND
ZIP 58701
Phone 701 857-2900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2025
Certificate Expiration Date 8/24/2027
Facility Type Physician Office
Lab Director ELLEN SIGAUKE

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