35D2162227 CLIA NUMBER - CATALYST MEDICAL CENTER PC

Laboratory Demographics

  • CLIA Code: 35D2162227
  • Facility Name: CATALYST MEDICAL CENTER PC
  • Facility Address: 1800 21ST AVE S
    FARGO, ND
    ZIP 58103
  • Facility Phone: 701 365-8700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUSAN MATHISON
  • NPI Number: 1043378268
  • Taxonomy: 207Y00000X - Otolaryngology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 35D2162227
LAB Type Physician Office
Facility Name CATALYST MEDICAL CENTER PC
Street 1800 21ST AVE S
City FARGO
State ND
ZIP 58103
Phone 701 365-8700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/19/2025
Certificate Expiration Date 2/18/2027
Facility Type Physician Office
Lab Director SUSAN MATHISON

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