35D2133854 CLIA NUMBER - MAYO PHARMACY INC

Laboratory Demographics

  • CLIA Code: 35D2133854
  • Facility Name: MAYO PHARMACY INC
  • Facility Address: 303 N 4TH ST
    BISMARCK, ND
    ZIP 58501
  • Facility Phone: 701 223-2424
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KEVIN F. MARTIAN
  • NPI Number: 1013018910
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 35D2133854
LAB Type Pharmacy
Facility Name MAYO PHARMACY INC
Street 303 N 4TH ST
City BISMARCK
State ND
ZIP 58501
Phone 701 223-2424
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2025
Certificate Expiration Date 7/19/2027
Facility Type Pharmacy
Lab Director KEVIN F. MARTIAN

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