35D2034082 CLIA NUMBER - BASIN HEALTH & SPINE CENTER

Laboratory Demographics

  • CLIA Code: 35D2034082
  • Facility Name: BASIN HEALTH & SPINE CENTER
  • Facility Address: 1319 2ND AVE W
    WILLISTON, ND
    ZIP 58801
  • Facility Phone: 701 577-2472
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHASE L. THEIGE
  • NPI Number: 1598312365
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 35D2034082
LAB Type Physician Office
Facility Name BASIN HEALTH & SPINE CENTER
Street 1319 2ND AVE W
City WILLISTON
State ND
ZIP 58801
Phone 701 577-2472
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2023
Certificate Expiration Date 12/14/2025
Facility Type Physician Office
Lab Director CHASE L. THEIGE

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This page was last updated on: 6/4/2025