35D2091340 CLIA NUMBER - FRIENDSHIP, INC

Laboratory Demographics

  • CLIA Code: 35D2091340
  • Facility Name: FRIENDSHIP, INC
  • Facility Address: 801 PAGE DRIVE
    FARGO, ND
    ZIP 58103
  • Facility Phone: 701 293-2980
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: KAILEY PRIBULA
  • NPI Number: 1578159075
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 35D2091340
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name FRIENDSHIP, INC
Street 801 PAGE DRIVE
City FARGO
State ND
ZIP 58103
Phone 701 293-2980
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2025
Certificate Expiration Date 2/10/2027
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director KAILEY PRIBULA

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