35D2315234 CLIA NUMBER - BRADLEY GYNECOLOGY PC

Laboratory Demographics

  • CLIA Code: 35D2315234
  • Facility Name: BRADLEY GYNECOLOGY PC
  • Facility Address: 3100 N 11TH ST SUITE 1
    BISMARCK, ND
    ZIP 58503
  • Facility Phone: 701 751-2272
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MELANIE SCHLITTENHARDT
  • NPI Number: 1770332975
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 35D2315234
LAB Type Physician Office
Facility Name BRADLEY GYNECOLOGY PC
Street 3100 N 11TH ST SUITE 1
City BISMARCK
State ND
ZIP 58503
Phone 701 751-2272
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/9/2024
Certificate Expiration Date 12/8/2026
Facility Type Physician Office
Lab Director MELANIE SCHLITTENHARDT

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