35D2253054 CLIA NUMBER - COOPERSTOWN MEDICAL CTR - NEW ROCKFORD SATELLITE

Laboratory Demographics

  • CLIA Code: 35D2253054
  • Facility Name: COOPERSTOWN MEDICAL CTR - NEW ROCKFORD SATELLITE
  • Facility Address: 6 8TH ST N
    NEW ROCKFORD, ND
    ZIP 58356
  • Facility Phone: 701 797-2221
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: HANNAH ZAUN
  • NPI Number: 1376635151
  • Taxonomy: 275N00000X - Medicare Defined Swing Bed Unit

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CLIA Record

Field Name Field Value
CLIA Number 35D2253054
LAB Type Rural Health Clinic
Facility Name COOPERSTOWN MEDICAL CTR - NEW ROCKFORD SATELLITE
Street 6 8TH ST N
City NEW ROCKFORD
State ND
ZIP 58356
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 2/16/2024
Certificate Expiration Date 2/15/2026
Facility Type Rural Health Clinic
Lab Director HANNAH ZAUN

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