35D2112617 CLIA NUMBER - VANCE THOMPSON VISION

Laboratory Demographics

  • CLIA Code: 35D2112617
  • Facility Name: VANCE THOMPSON VISION
  • Facility Address: 354 23RD AVE E
    WEST FARGO, ND
    ZIP 58078
  • Facility Phone: 605 361-3937
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL D. GREENWOOD
  • NPI Number: 1073519989
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 35D2112617
LAB Type Physician Office
Facility Name VANCE THOMPSON VISION
Street 354 23RD AVE E
City WEST FARGO
State ND
ZIP 58078
Phone 605 361-3937
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2024
Certificate Expiration Date 5/2/2026
Facility Type Physician Office
Lab Director MICHAEL D. GREENWOOD

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