35D2206819 CLIA NUMBER - YWCA CASS CLAY

Laboratory Demographics

  • CLIA Code: 35D2206819
  • Facility Name: YWCA CASS CLAY
  • Facility Address: 3000 S UNIVERSITY
    FARGO, ND
    ZIP 58103
  • Facility Phone: 701 367-0458
  • Facility Type: Other - HOMELESS SHELTER
  • Facility Type: Waiver
  • Lab Director: ASHLEY K. MITCHELL
  • NPI Number: 1689306540
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 35D2206819
LAB Type Other - HOMELESS SHELTER
Facility Name YWCA CASS CLAY
Street 3000 S UNIVERSITY
City FARGO
State ND
ZIP 58103
Phone 701 367-0458
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 Other - HOMELESS SHELTER
Lab Director ASHLEY K. MITCHELL

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