35D2162346 CLIA NUMBER - PYRAMID HEALTH, LLC

Laboratory Demographics

CLIA Number: 35D2162346

Facility Name: PYRAMID HEALTH, LLC

Facility Address:
516 MAIN ST
BOTTINEAU, ND
ZIP 58318
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Facility Phone Number: 701 534-0109

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1992269161

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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
CertificateType 4
CertificateEffectiveDate 2/20/2023
CertificateExpirationDate 2/19/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024