35D2126710 CLIA NUMBER - CHI ST ALEXIUS HEALTH COMPANY CARE

Laboratory Demographics

CLIA Number: 35D2126710

Facility Name: CHI ST ALEXIUS HEALTH COMPANY CARE

Facility Address:
310 N 9TH ST
BISMARCK, ND
ZIP 58501
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Facility Phone Number: 701 530-8103

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1205868429

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	35D2126710
LAB Type	Practitioner Other
Facility Name	CHI ST ALEXIUS HEALTH COMPANY CARE
Street	310 N 9TH ST
City	BISMARCK
State	ND
ZIP	58501
Phone	701 530-8103
CertificateType	4
CertificateEffectiveDate	3/2/2023
CertificateExpirationDate	3/1/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024