35D2236109 CLIA NUMBER - COOPERSTOWN MEDICAL CENTER DBA DAKOTA REG MED CTR - LAKOTA SATELLITE CLINIC

Laboratory Demographics

  • CLIA Code: 35D2236109
  • Facility Name: COOPERSTOWN MEDICAL CENTER DBA DAKOTA REG MED CTR - LAKOTA SATELLITE CLINIC
  • Facility Address: 117 2ND ST W
    LAKOTA, ND
    ZIP 58344
  • Facility Phone: 701 797-2221
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: HANNAH ZAUN
  • NPI Number: 1821760679
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 35D2236109
LAB Type Rural Health Clinic
Facility Name COOPERSTOWN MEDICAL CENTER DBA DAKOTA REG MED CTR - LAKOTA SATELLITE CLINIC
Street 117 2ND ST W
City LAKOTA
State ND
ZIP 58344
Phone 701 797-2221
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2025
Certificate Expiration Date 9/14/2027
Facility Type Rural Health Clinic
Lab Director HANNAH ZAUN

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