35D2149734 CLIA NUMBER - SPIRIT LAKE EARLY CHILDHOOD TRACKING

Laboratory Demographics

  • CLIA Code: 35D2149734
  • Facility Name: SPIRIT LAKE EARLY CHILDHOOD TRACKING
  • Facility Address: 416 2ND AVE N
    FORT TOTTEN, ND
    ZIP 58335
  • Facility Phone: (701) 766-1248
  • Facility Type: Other - HEALTH TRACKS (ECT)
  • Facility Type: Waiver
  • Lab Director: BEVERLY GRAYWATER

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 35D2149734
LAB Type Other - HEALTH TRACKS (ECT)
Facility Name SPIRIT LAKE EARLY CHILDHOOD TRACKING
Street 416 2ND AVE N
City FORT TOTTEN
State ND
ZIP 58335
Phone 7017661248
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2024
Certificate Expiration Date 6/10/2026
Facility Type Other - HEALTH TRACKS (ECT)
Lab Director BEVERLY GRAYWATER

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: 5/18/2026