35D2281611 CLIA NUMBER - RUTH MEIERS ADOLESCENT CENTER

Laboratory Demographics

CLIA Number: 35D2281611

Facility Name: RUTH MEIERS ADOLESCENT CENTER

Facility Address:
770 S 14TH ST
GRAND FORKS, ND
ZIP 58201
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Facility Phone Number: 701 795-3870

Facility Type: Other - PRTF

Certificate Type: Waiver

NPI Number: 1891808978

Taxonomy: 322D00000X - Residential Treatment Facility, Emotionally Disturbed Children
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

CLIA Record

Field Name	Field Value
CLIA Number	35D2281611
LAB Type	Other - PRTF
Facility Name	RUTH MEIERS ADOLESCENT CENTER
Street	770 S 14TH ST
City	GRAND FORKS
State	ND
ZIP	58201
Phone	701 795-3870
CertificateType	4
CertificateEffectiveDate	5/9/2023
CertificateExpirationDate	5/8/2025
FacilityType	Waiver

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