35D2125562 CLIA NUMBER - CENTRAL PHARMACY

Laboratory Demographics

  • CLIA Code: 35D2125562
  • Facility Name: CENTRAL PHARMACY
  • Facility Address: 4 N 8TH ST
    NEW ROCKFORD, ND
    ZIP 58356
  • Facility Phone: 701 947-5313
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHANE R. WENDEL
  • NPI Number: 1154333730
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 35D2125562
LAB Type Pharmacy
Facility Name CENTRAL PHARMACY
Street 4 N 8TH ST
City NEW ROCKFORD
State ND
ZIP 58356
Phone 701 947-5313
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Pharmacy
Lab Director SHANE R. WENDEL

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