35D2274947 CLIA NUMBER - INFINITE BEAUTY DBA HEART RIVER HEALTH CARE

Laboratory Demographics

  • CLIA Code: 35D2274947
  • Facility Name: INFINITE BEAUTY DBA HEART RIVER HEALTH CARE
  • Facility Address: 215 N MAIN
    CARSON, ND
    ZIP 58529
  • Facility Phone: 701 400-8211
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: CAREY E. RIVINIUS
  • NPI Number: 1932810157
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 35D2274947
LAB Type Practitioner Other
Facility Name INFINITE BEAUTY DBA HEART RIVER HEALTH CARE
Street 215 N MAIN
City CARSON
State ND
ZIP 58529
Phone 701 400-8211
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2025
Certificate Expiration Date 1/11/2027
Facility Type Practitioner Other
Lab Director CAREY E. RIVINIUS

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