35D2233940 CLIA NUMBER - G & G PHARMACY

Laboratory Demographics

  • CLIA Code: 35D2233940
  • Facility Name: G & G PHARMACY
  • Facility Address: 1500 14TH ST W STE 150
    WILLISTON, ND
    ZIP 58801
  • Facility Phone: 701 572-7979
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GABRIEL T. GRATZ
  • NPI Number: 1063839496
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 35D2233940
LAB Type Pharmacy
Facility Name G & G PHARMACY
Street 1500 14TH ST W STE 150
City WILLISTON
State ND
ZIP 58801
Phone 701 572-7979
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/26/2025
Certificate Expiration Date 8/25/2027
Facility Type Pharmacy
Lab Director GABRIEL T. GRATZ

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