35D2283152 CLIA NUMBER - RETINA CONSULTANTS, LTD

Laboratory Demographics

  • CLIA Code: 35D2283152
  • Facility Name: RETINA CONSULTANTS, LTD
  • Facility Address: 4450 31ST AVE S, SUITE 200
    FARGO, ND
    ZIP 58104
  • Facility Phone: 701 293-9829
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MELISSA J. KRAMER
  • NPI Number: 1972589182
  • Taxonomy: 207WX0107X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 35D2283152
LAB Type Physician Office
Facility Name RETINA CONSULTANTS, LTD
Street 4450 31ST AVE S, SUITE 200
City FARGO
State ND
ZIP 58104
Phone 701 293-9829
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2025
Certificate Expiration Date 5/31/2027
Facility Type Physician Office
Lab Director MELISSA J. KRAMER

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