35D2035549 CLIA NUMBER - DICKEY COUNTY HEALTH DISTRICT

Laboratory Demographics

  • CLIA Code: 35D2035549
  • Facility Name: DICKEY COUNTY HEALTH DISTRICT
  • Facility Address: 205 15TH ST N
    ELLENDALE, ND
    ZIP 58436
  • Facility Phone: 701 349-4348
  • Facility Type: Public Health Laboratories
  • Facility Type: Waiver
  • Lab Director: ROXANNE M. HOLM
  • NPI Number: 1063613438
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 35D2035549
LAB Type Public Health Laboratories
Facility Name DICKEY COUNTY HEALTH DISTRICT
Street 205 15TH ST N
City ELLENDALE
State ND
ZIP 58436
Phone 701 349-4348
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/19/2024
Certificate Expiration Date 1/18/2026
Facility Type Public Health Laboratories
Lab Director ROXANNE M. HOLM

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