35D2276807 CLIA NUMBER - INNOVATIVE HEALTH, PLLC

Laboratory Demographics

  • CLIA Code: 35D2276807
  • Facility Name: INNOVATIVE HEALTH, PLLC
  • Facility Address: 509 16TH ST NE
    WATFORD CITY, ND
    ZIP 58854
  • Facility Phone: 701 444-2888
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MISTI BREITBACH
  • NPI Number: 1437859782
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 35D2276807
LAB Type Practitioner Other
Facility Name INNOVATIVE HEALTH, PLLC
Street 509 16TH ST NE
City WATFORD CITY
State ND
ZIP 58854
Phone 701 444-2888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/15/2025
Certificate Expiration Date 2/14/2027
Facility Type Practitioner Other
Lab Director MISTI BREITBACH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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