35D2097076 CLIA NUMBER - CENTER FOR SPECIAL SURGERY

Laboratory Demographics

  • CLIA Code: 35D2097076
  • Facility Name: CENTER FOR SPECIAL SURGERY
  • Facility Address: 350 23RD AVE E STE 201
    WEST FARGO, ND
    ZIP 58078
  • Facility Phone: 218 205-7084
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ANGELA K. MATTHYS
  • NPI Number: 1326144221
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 35D2097076
LAB Type Ambulatory Surgery Center
Facility Name CENTER FOR SPECIAL SURGERY
Street 350 23RD AVE E STE 201
City WEST FARGO
State ND
ZIP 58078
Phone 218 205-7084
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2025
Certificate Expiration Date 6/7/2027
Facility Type Ambulatory Surgery Center
Lab Director ANGELA K. MATTHYS

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