35D2154109 CLIA NUMBER - TRINITY HEALTH EAST RIDGE

Laboratory Demographics

  • CLIA Code: 35D2154109
  • Facility Name: TRINITY HEALTH EAST RIDGE
  • Facility Address: 1250 21ST AVE SE
    MINOT, ND
    ZIP 58701
  • Facility Phone: 701 857-5000
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: THOMAS MICKELSON
  • NPI Number: 1538214689
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 35D2154109
LAB Type Ancillary Testing Site in Health Care Center
Facility Name TRINITY HEALTH EAST RIDGE
Street 1250 21ST AVE SE
City MINOT
State ND
ZIP 58701
Phone 701 857-5000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2024
Certificate Expiration Date 9/5/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director THOMAS MICKELSON

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