35D2213935 CLIA NUMBER - SKIN WIN DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 35D2213935
  • Facility Name: SKIN WIN DERMATOLOGY
  • Facility Address: 1213 15TH AVE W SUITE 102
    WILLISTON, ND
    ZIP 58801
  • Facility Phone: 701 800-5110
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: DANIEL HOFFMAN
  • NPI Number: 1992343198
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 35D2213935
LAB Type Independent
Facility Name SKIN WIN DERMATOLOGY
Street 1213 15TH AVE W SUITE 102
City WILLISTON
State ND
ZIP 58801
Phone 701 800-5110
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 3/13/2024
Certificate Expiration Date 3/12/2026
Facility Type Independent
Lab Director DANIEL HOFFMAN

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