35D2162346 CLIA NUMBER - PYRAMID HEALTH, LLC

Laboratory Demographics

  • CLIA Code: 35D2162346
  • Facility Name: PYRAMID HEALTH, LLC
  • Facility Address: 516 MAIN ST
    BOTTINEAU, ND
    ZIP 58318
  • Facility Phone: 701 534-0109
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: MARK E. KOIVULA
  • NPI Number: 1992269161
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 35D2162346
LAB Type Community Clinic
Facility Name PYRAMID HEALTH, LLC
Street 516 MAIN ST
City BOTTINEAU
State ND
ZIP 58318
Phone 701 534-0109
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/20/2025
Certificate Expiration Date 2/19/2027
Facility Type Community Clinic
Lab Director MARK E. KOIVULA

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