35D2135199 CLIA NUMBER - MEDICINE SHOPPE PHARMACY

Laboratory Demographics

  • CLIA Code: 35D2135199
  • Facility Name: MEDICINE SHOPPE PHARMACY
  • Facility Address: 1571 W VILLARD
    DICKINSON, ND
    ZIP 58601
  • Facility Phone: 701 227-8265
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRANDI L. OLLERMAN
  • NPI Number: 1407038532
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 35D2135199
LAB Type Pharmacy
Facility Name MEDICINE SHOPPE PHARMACY
Street 1571 W VILLARD
City DICKINSON
State ND
ZIP 58601
Phone 701 227-8265
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2025
Certificate Expiration Date 8/15/2027
Facility Type Pharmacy
Lab Director BRANDI L. OLLERMAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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