35D2215389 CLIA NUMBER - TRIPLE C CLINIC PLLC

Laboratory Demographics

  • CLIA Code: 35D2215389
  • Facility Name: TRIPLE C CLINIC PLLC
  • Facility Address: 315 S MAIN ST #302
    MINOT, ND
    ZIP 58701
  • Facility Phone: 701 837-5757
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: SUSAN G. COLLINS
  • NPI Number: 1508450099
  • Taxonomy: 363LF0000X - Nurse Practitioner

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 35D2215389
LAB Type Practitioner Other
Facility Name TRIPLE C CLINIC PLLC
Street 315 S MAIN ST #302
City MINOT
State ND
ZIP 58701
Phone 701 837-5757
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2025
Certificate Expiration Date 3/2/2027
Facility Type Practitioner Other
Lab Director SUSAN G. COLLINS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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