35D2096759 CLIA NUMBER - BURLEIGH MORTON DETENTION CENTER

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Laboratory Demographics

CLIA Number: 35D2096759

Facility Name: BURLEIGH MORTON DETENTION CENTER

Facility Address:
4000 APPLE CREEK RD
BISMARCK, ND
ZIP 58504
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Facility Phone Number: 701 255-3113

Facility Type: Other - JAIL

Certificate Type: Waiver

NPI Number: 1770783169

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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
CertificateType	4
CertificateEffectiveDate	6/1/2023
CertificateExpirationDate	5/31/2025
FacilityType	Waiver

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