35D2075298 CLIA NUMBER - SPECTRA HEALTH

Laboratory Demographics

  • CLIA Code: 35D2075298
  • Facility Name: SPECTRA HEALTH
  • Facility Address: 212 S 4TH ST #301
    GRAND FORKS, ND
    ZIP 58201
  • Facility Phone: 701 757-2100
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: CHRISTINE C. HARSELL
  • NPI Number: 1689878324
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 35D2075298
LAB Type Federally Qualified Health Center
Facility Name SPECTRA HEALTH
Street 212 S 4TH ST #301
City GRAND FORKS
State ND
ZIP 58201
Phone 701 757-2100
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/1/2024
Certificate Expiration Date 1/31/2026
Facility Type Federally Qualified Health Center
Lab Director CHRISTINE C. HARSELL

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