35D2047580 CLIA NUMBER - BEULAH VISION PC

Laboratory Demographics

  • CLIA Code: 35D2047580
  • Facility Name: BEULAH VISION PC
  • Facility Address: 204 W MAIN ST
    BEULAH, ND
    ZIP 58523
  • Facility Phone: 701 873-5251
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL J. HAMMERSCHMIDT
  • NPI Number: 1881687010
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 35D2047580
LAB Type Physician Office
Facility Name BEULAH VISION PC
Street 204 W MAIN ST
City BEULAH
State ND
ZIP 58523
Phone 701 873-5251
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/26/2024
Certificate Expiration Date 9/25/2026
Facility Type Physician Office
Lab Director MICHAEL J. HAMMERSCHMIDT

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