35D2096759 CLIA NUMBER - BURLEIGH MORTON DETENTION CENTER

Laboratory Demographics

  • CLIA Code: 35D2096759
  • Facility Name: BURLEIGH MORTON DETENTION CENTER
  • Facility Address: 4000 APPLE CREEK RD
    BISMARCK, ND
    ZIP 58504
  • Facility Phone: 701 255-3113
  • Facility Type: Other - JAIL
  • Facility Type: Waiver
  • Lab Director: AMANDA THOMPSON
  • NPI Number: 1770783169
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 35D2096759
LAB Type Other - JAIL
Facility Name BURLEIGH MORTON DETENTION CENTER
Street 4000 APPLE CREEK RD
City BISMARCK
State ND
ZIP 58504
Phone 701 255-3113
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2025
Certificate Expiration Date 5/31/2027
Facility Type Other - JAIL
Lab Director AMANDA THOMPSON

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