CLIA lab
CLIA 35D1011929: Sargent County Ambulance/Forman
Forman, ND. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 35D1011929 belongs to Sargent County Ambulance/Forman in Forman, ND.
Certificate of Waiver, effective June 22, 2026, expires June 21, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- June 22, 2026
- Certificate expiration
- June 21, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 28, 2003
- Facility type
- Ambulance
- Ownership (control type)
- Government, county
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 35D1011929
- Lab name
- Sargent County Ambulance/Forman
- Address
- 355 Main St S, Forman, ND 58032
- Phone
- (701) 724-3385
- Fax
- (701) 724-6244
Annual test volume the lab reported
- Waived tests
- 20
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Forman, ND
Related
Questions
What is the CLIA number for Sargent County Ambulance/Forman in Forman?
35D1011929, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sargent County Ambulance/Forman hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 35D1011929 expire?
The CMS file lists June 21, 2028 as the certificate expiration date; the certificate took effect June 22, 2026.