35D2064218 CLIA NUMBER - RED RIVER HUMAN SERVICES FOUNDATION

Laboratory Demographics

  • CLIA Code: 35D2064218
  • Facility Name: RED RIVER HUMAN SERVICES FOUNDATION
  • Facility Address: 701 6TH ST S
    WAHPETON, ND
    ZIP 58075
  • Facility Phone: 701 642-2442
  • Facility Type: Other - INTERMEDIATE CARE FOR ID
  • Facility Type: Waiver
  • Lab Director: JESSICA A. NELSON
  • NPI Number: 1790385441
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 35D2064218
LAB Type Other - INTERMEDIATE CARE FOR ID
Facility Name RED RIVER HUMAN SERVICES FOUNDATION
Street 701 6TH ST S
City WAHPETON
State ND
ZIP 58075
Phone 701 642-2442
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Other - INTERMEDIATE CARE FOR ID
Lab Director JESSICA A. NELSON

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