35D2065336 CLIA NUMBER - WEST CENTRAL HUMAN SERVICE CENTER

Laboratory Demographics

  • CLIA Code: 35D2065336
  • Facility Name: WEST CENTRAL HUMAN SERVICE CENTER
  • Facility Address: 1237 W DIVIDE AVE SUITE #5
    BISMARCK, ND
    ZIP 58501
  • Facility Phone: 701 328-8888
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: LAURA KROETSCH
  • NPI Number: 1649226713
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 35D2065336
LAB Type Community Clinic
Facility Name WEST CENTRAL HUMAN SERVICE CENTER
Street 1237 W DIVIDE AVE SUITE #5
City BISMARCK
State ND
ZIP 58501
Phone 701 328-8888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2025
Certificate Expiration Date 9/8/2027
Facility Type Community Clinic
Lab Director LAURA KROETSCH

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