35D2110643 CLIA NUMBER - OPPORTUNITY FOUNDATION, INC

Laboratory Demographics

  • CLIA Code: 35D2110643
  • Facility Name: OPPORTUNITY FOUNDATION, INC
  • Facility Address: 612 E BROADWAY
    WILLISTON, ND
    ZIP 58801
  • Facility Phone: 701 774-8593
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: MICHELLE T. YEITER
  • NPI Number: 1104332337
  • Taxonomy: 251C00000X - Day Training, Developmentally Disabled Services

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CLIA Record

Field Name Field Value
CLIA Number 35D2110643
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name OPPORTUNITY FOUNDATION, INC
Street 612 E BROADWAY
City WILLISTON
State ND
ZIP 58801
Phone 701 774-8593
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2024
Certificate Expiration Date 3/21/2026
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director MICHELLE T. YEITER

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