35D2322208 CLIA NUMBER - MCKENZIE HEALTH OB/GYN CLINIC

Laboratory Demographics

  • CLIA Code: 35D2322208
  • Facility Name: MCKENZIE HEALTH OB/GYN CLINIC
  • Facility Address: 709 4TH AVE NE
    WATFORD CITY, ND
    ZIP 58854
  • Facility Phone: 701 444-8615
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: ROSELYN DALY
  • NPI Number: 1548716285
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 35D2322208
LAB Type Community Clinic
Facility Name MCKENZIE HEALTH OB/GYN CLINIC
Street 709 4TH AVE NE
City WATFORD CITY
State ND
ZIP 58854
Phone 701 444-8615
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2025
Certificate Expiration Date 4/15/2027
Facility Type Community Clinic
Lab Director ROSELYN DALY

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