35D2115984 CLIA NUMBER - EDGEWOOD JAMESTOWN, LLC

Laboratory Demographics

  • CLIA Code: 35D2115984
  • Facility Name: EDGEWOOD JAMESTOWN, LLC
  • Facility Address: 1104 25TH ST SW
    JAMESTOWN, ND
    ZIP 58401
  • Facility Phone: 701 952-8750
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: SARAH KELLY
  • NPI Number: 1891241139
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 35D2115984
LAB Type Assisted Living Facility
Facility Name EDGEWOOD JAMESTOWN, LLC
Street 1104 25TH ST SW
City JAMESTOWN
State ND
ZIP 58401
Phone 701 952-8750
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2024
Certificate Expiration Date 7/17/2026
Facility Type Assisted Living Facility
Lab Director SARAH KELLY

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