35D2084725 CLIA NUMBER - DEVELOPMENT HOMES, INC

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Laboratory Demographics

CLIA Number: 35D2084725

Facility Name: DEVELOPMENT HOMES, INC

Facility Address:
2720 S 17TH ST
GRAND FORKS, ND
ZIP 58201
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Facility Phone Number: 701 335-4000

Facility Type: Intermediate Care Facility for Mentally Retarded

Certificate Type: Waiver

NPI Number: 1255965398

Taxonomy: 315P00000X - Intermediate Care Facility, Intellectual Disabilities
An intermediate care facility providing services for individuals with intellectual disabilities.

CLIA Record

Field Name	Field Value
CLIA Number	35D2084725
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	DEVELOPMENT HOMES, INC
Street	2720 S 17TH ST
City	GRAND FORKS
State	ND
ZIP	58201
Phone	701 335-4000
CertificateType	4
CertificateEffectiveDate	9/30/2022
CertificateExpirationDate	9/29/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024