35D2249619 CLIA NUMBER - BRIGHTSIDE SURGERY CENTER

Laboratory Demographics

CLIA Number: 35D2249619

Facility Name: BRIGHTSIDE SURGERY CENTER

Facility Address:
401 N 9TH ST
BISMARCK, ND
ZIP 58501
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Facility Phone Number: 701 712-4100

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1962059915

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	35D2249619
LAB Type	Ambulatory Surgery Center
Facility Name	BRIGHTSIDE SURGERY CENTER
Street	401 N 9TH ST
City	BISMARCK
State	ND
ZIP	58501
Phone	701 712-4100
CertificateType	4
CertificateEffectiveDate	1/21/2024
CertificateExpirationDate	1/20/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024