35D2156589 CLIA NUMBER - GOOD ROAD RECOVERY CENTER

Laboratory Demographics

  • CLIA Code: 35D2156589
  • Facility Name: GOOD ROAD RECOVERY CENTER
  • Facility Address: 1308 ELBOWOODS LANE
    BISMARCK, ND
    ZIP 58503
  • Facility Phone: 701 751-8260
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: KAYLA J. LITTLE SOLDIER
  • NPI Number: 1629544267
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 35D2156589
LAB Type Comp. Outpatient Rehab Facility
Facility Name GOOD ROAD RECOVERY CENTER
Street 1308 ELBOWOODS LANE
City BISMARCK
State ND
ZIP 58503
Phone 701 751-8260
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2024
Certificate Expiration Date 10/21/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director KAYLA J. LITTLE SOLDIER

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