CLIA lab
CLIA 35D1040908: Dickinson Country House LLC
Dickinson, ND. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 35D1040908 belongs to Dickinson Country House LLC in Dickinson, ND.
Certificate of Waiver, effective May 19, 2025, expires May 18, 2027.
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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- May 19, 2025
- Certificate expiration
- May 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 19, 2005
- Facility type
- Other
- Ownership (control type)
- Proprietary
- 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
- 35D1040908
- Lab name
- Dickinson Country House LLC
- Address
- 628 24th St W, Dickinson, ND 58601
- Phone
- (701) 483-2266
- Fax
- (701) 483-2269
Annual test volume the lab reported
- Waived tests
- 20,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Dickinson, ND
- Able IncCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities35D0708266
- Advanced Care Clinic, PLLCCertificate of Waiver, Community clinic35D2342927
- B&H On-Site Testing LLCCertificate of Waiver, Mobile lab35D2104088
- Badlands Behavioral Health ClinicCertificate of Waiver, Other35D2067152
- Benedictine Living Community - DickinsonCertificate of Waiver, Skilled nursing or nursing facility35D0684416
- Chi Health Connect at Home - FargoCertificate of Waiver, Home health agency35D2094229
- Clinic Pharmacy IncCertificate of Waiver, Pharmacy35D2221873
- Connect Medical ClinicCertificate of Waiver, Community clinic35D2104721
- Dickinson Area AmbulanceCertificate of Waiver, Ambulance35D1011433
- Dickinson Fire DepartmentCertificate of Waiver, Ambulance35D2318905
Related
Questions
What is the CLIA number for Dickinson Country House LLC in Dickinson?
35D1040908, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Dickinson Country House LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 35D1040908 expire?
The CMS file lists May 18, 2027 as the certificate expiration date; the certificate took effect May 19, 2025.