35D2206901 CLIA NUMBER - MINOT VOCATIONAL ADJUSTMENT WORKSHOP DBA KALIX

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Field Name	Field Value
CLIA Number	35D2206901
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	MINOT VOCATIONAL ADJUSTMENT WORKSHOP DBA KALIX
Street	605 27TH ST SE
City	MINOT
State	ND
ZIP	58701
Phone	701 852-1014
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	12/23/2024
Certificate Expiration Date	12/22/2026
Facility Type	Intermediate Care Facility for Mentally Retarded
Lab Director	BORGI BEELER

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