35D2221873 CLIA NUMBER - CLINIC PHARMACY INC

Laboratory Demographics

  • CLIA Code: 35D2221873
  • Facility Name: CLINIC PHARMACY INC
  • Facility Address: 2615 FAURWAY ST
    DICKINSON, ND
    ZIP 58601
  • Facility Phone: 701 483-4401
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRANDI OLLERMAN
  • NPI Number: 1013029024
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 35D2221873
LAB Type Pharmacy
Facility Name CLINIC PHARMACY INC
Street 2615 FAURWAY ST
City DICKINSON
State ND
ZIP 58601
Phone 701 483-4401
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2025
Certificate Expiration Date 4/25/2027
Facility Type Pharmacy
Lab Director BRANDI OLLERMAN

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