35D2332188 CLIA NUMBER - WILLOW HEALTH, PLLC

Laboratory Demographics

  • CLIA Code: 35D2332188
  • Facility Name: WILLOW HEALTH, PLLC
  • Facility Address: 3101 BROADWAY N SUITE B
    FARGO, ND
    ZIP 58102
  • Facility Phone: (701) 658-5577
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JESSIE S. LINDEMANN
  • NPI Number: 1780426643
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 35D2332188
LAB Type Physician Office
Facility Name WILLOW HEALTH, PLLC
Street 3101 BROADWAY N SUITE B
City FARGO
State ND
ZIP 58102
Phone 7016585577
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2025
Certificate Expiration Date 10/14/2027
Facility Type Physician Office
Lab Director JESSIE S. LINDEMANN

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This page was last updated on: 5/18/2026