35D2067152 CLIA NUMBER - BADLANDS HUMAN SERVICE CENTER

Laboratory Demographics

  • CLIA Code: 35D2067152
  • Facility Name: BADLANDS HUMAN SERVICE CENTER
  • Facility Address: 1463 I-94 BUISNESS LOOP E
    DICKINSON, ND
    ZIP 58601
  • Facility Phone: 701 227-7500
  • Facility Type: Other - OUTPT MENTAL HEALTH CTR
  • Facility Type: Waiver
  • Lab Director: STACEY JACKSON
  • NPI Number: 1952828360
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 35D2067152
LAB Type Other - OUTPT MENTAL HEALTH CTR
Facility Name BADLANDS HUMAN SERVICE CENTER
Street 1463 I-94 BUISNESS LOOP E
City DICKINSON
State ND
ZIP 58601
Phone 701 227-7500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2023
Certificate Expiration Date 10/8/2025
Facility Type Other - OUTPT MENTAL HEALTH CTR
Lab Director STACEY JACKSON

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This page was last updated on: 6/4/2025