35D2298079 CLIA NUMBER - DIALYSIS AT THE FORKS

Laboratory Demographics

  • CLIA Code: 35D2298079
  • Facility Name: DIALYSIS AT THE FORKS
  • Facility Address: 1300 S COLUMBIA RD
    GRAND FORKS, ND
    ZIP 58201
  • Facility Phone: (701) 317-6153
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ADETOLA HAASTRUP

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 35D2298079
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIALYSIS AT THE FORKS
Street 1300 S COLUMBIA RD
City GRAND FORKS
State ND
ZIP 58201
Phone 7013176153
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2026
Certificate Expiration Date 1/28/2028
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ADETOLA HAASTRUP

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: 5/18/2026