35D2137734 CLIA NUMBER - NORTHEAST BEHAVIORAL HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 35D2137734
  • Facility Name: NORTHEAST BEHAVIORAL HEALTH CLINIC
  • Facility Address: 151 S 4TH ST SUITE 401
    GRAND FORKS, ND
    ZIP 58201
  • Facility Phone: 701 795-3000
  • Facility Type: Other - HUMAN SERVICE CENTER
  • Facility Type: Waiver
  • Lab Director: ROSE JULIUS
  • NPI Number: 1922529932
  • Taxonomy: 251S00000X - Community/Behavioral Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 35D2137734
LAB Type Other - HUMAN SERVICE CENTER
Facility Name NORTHEAST BEHAVIORAL HEALTH CLINIC
Street 151 S 4TH ST SUITE 401
City GRAND FORKS
State ND
ZIP 58201
Phone 701 795-3000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2025
Certificate Expiration Date 10/2/2027
Facility Type Other - HUMAN SERVICE CENTER
Lab Director ROSE JULIUS

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