35D2244140 CLIA NUMBER - CONVENIENT CARE CLINIC

Laboratory Demographics

  • CLIA Code: 35D2244140
  • Facility Name: CONVENIENT CARE CLINIC
  • Facility Address: 505 32ND AVE E, SUITE B
    WEST FARGO, ND
    ZIP 58078
  • Facility Phone: 701 532-1731
  • Facility Type: Other - WALK-IN CLINIC & PRIMARY
  • Facility Type: Waiver
  • Lab Director: SUSAN C. NORDQUIST
  • NPI Number: 1457017444
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 35D2244140
LAB Type Other - WALK-IN CLINIC & PRIMARY
Facility Name CONVENIENT CARE CLINIC
Street 505 32ND AVE E, SUITE B
City WEST FARGO
State ND
ZIP 58078
Phone 701 532-1731
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2023
Certificate Expiration Date 11/28/2025
Facility Type Other - WALK-IN CLINIC & PRIMARY
Lab Director SUSAN C. NORDQUIST

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