35D2320023 CLIA NUMBER - GRACE AND GRATITUDE WELLNESS PLLC

Laboratory Demographics

  • CLIA Code: 35D2320023
  • Facility Name: GRACE AND GRATITUDE WELLNESS PLLC
  • Facility Address: 210 HIGHWAY 2 WEST SUITE 8
    DEVILS LAKE, ND
    ZIP 58301
  • Facility Phone: 701 662-2039
  • Facility Type: Independent
  • Facility Type: Microscopy
  • Lab Director: CARLEE L. THOMSON
  • NPI Number: 1366254435
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 35D2320023
LAB Type Independent
Facility Name GRACE AND GRATITUDE WELLNESS PLLC
Street 210 HIGHWAY 2 WEST SUITE 8
City DEVILS LAKE
State ND
ZIP 58301
Phone 701 662-2039
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/11/2025
Certificate Expiration Date 3/10/2027
Facility Type Independent
Lab Director CARLEE L. THOMSON

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