35D2176103 CLIA NUMBER - SANFORD BISMARCK COMMUNITY PARAMEDIC

Laboratory Demographics

  • CLIA Code: 35D2176103
  • Facility Name: SANFORD BISMARCK COMMUNITY PARAMEDIC
  • Facility Address: 1833 E BISMARCK EXPRESSWAY
    BISMARCK, ND
    ZIP 58504
  • Facility Phone: 701 323-6076
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: RJ MOEN
  • NPI Number: 1811941172
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 35D2176103
LAB Type Ambulance
Facility Name SANFORD BISMARCK COMMUNITY PARAMEDIC
Street 1833 E BISMARCK EXPRESSWAY
City BISMARCK
State ND
ZIP 58504
Phone 701 323-6076
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/9/2023
Certificate Expiration Date 12/8/2025
Facility Type Ambulance
Lab Director RJ MOEN

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