35D2207399 CLIA NUMBER - BOTTINEAU CLINIC PHARMACY

Laboratory Demographics

  • CLIA Code: 35D2207399
  • Facility Name: BOTTINEAU CLINIC PHARMACY
  • Facility Address: 314 OHMER ST
    BOTTINEAU, ND
    ZIP 58318
  • Facility Phone: 701 228-2220
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ZACHARY J. MARTY
  • NPI Number: 1285651984
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 35D2207399
LAB Type Pharmacy
Facility Name BOTTINEAU CLINIC PHARMACY
Street 314 OHMER ST
City BOTTINEAU
State ND
ZIP 58318
Phone 701 228-2220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2024
Certificate Expiration Date 12/27/2026
Facility Type Pharmacy
Lab Director ZACHARY J. MARTY

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