35D2045975 CLIA NUMBER - SPIRIT LAKE TRIBAL HEALTH

Laboratory Demographics

  • CLIA Code: 35D2045975
  • Facility Name: SPIRIT LAKE TRIBAL HEALTH
  • Facility Address: 816 3RD AVE N
    FORT TOTTEN, ND
    ZIP 58335
  • Facility Phone: 701 766-4236
  • Facility Type: Public Health Laboratories
  • Facility Type: Waiver
  • Lab Director: COLETTE LYMAN
  • NPI Number: 1841619798
  • Taxonomy: 251B00000X - Case Management

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 35D2045975
LAB Type Public Health Laboratories
Facility Name SPIRIT LAKE TRIBAL HEALTH
Street 816 3RD AVE N
City FORT TOTTEN
State ND
ZIP 58335
Phone 701 766-4236
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/7/2023
Certificate Expiration Date 12/6/2025
Facility Type Public Health Laboratories
Lab Director COLETTE LYMAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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