35D2128620 CLIA NUMBER - COMMUNITY MEDICAL SERVICES - FARGO

Laboratory Demographics

  • CLIA Code: 35D2128620
  • Facility Name: COMMUNITY MEDICAL SERVICES - FARGO
  • Facility Address: 901 28TH ST S, SUITE C
    FARGO, ND
    ZIP 58103
  • Facility Phone: 701 540-6468
  • Facility Type: Other - OP TREATMENT PROGRAM
  • Facility Type: Waiver
  • Lab Director: JUSTIN M. ABEYTA
  • NPI Number: 1023039278
  • Taxonomy: 261QM1200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 35D2128620
LAB Type Other - OP TREATMENT PROGRAM
Facility Name COMMUNITY MEDICAL SERVICES - FARGO
Street 901 28TH ST S, SUITE C
City FARGO
State ND
ZIP 58103
Phone 701 540-6468
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2025
Certificate Expiration Date 4/2/2027
Facility Type Other - OP TREATMENT PROGRAM
Lab Director JUSTIN M. ABEYTA

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