35D2206704 CLIA NUMBER - LANGDON DRUG INC

Laboratory Demographics

  • CLIA Code: 35D2206704
  • Facility Name: LANGDON DRUG INC
  • Facility Address: 805 3RD ST
    LANGDON, ND
    ZIP 58249
  • Facility Phone: 701 256-3330
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LYLE L. LUTMAN
  • NPI Number: 1235177221
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 35D2206704
LAB Type Pharmacy
Facility Name LANGDON DRUG INC
Street 805 3RD ST
City LANGDON
State ND
ZIP 58249
Phone 701 256-3330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2024
Certificate Expiration Date 12/21/2026
Facility Type Pharmacy
Lab Director LYLE L. LUTMAN

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