CLIA lab
CLIA 35D1046042: Glen Ullin Family Medical Clinic
Glen Ullin, ND. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 35D1046042 belongs to Glen Ullin Family Medical Clinic in Glen Ullin, ND.
Certificate of Waiver, effective September 29, 2025, expires September 28, 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
- September 29, 2025
- Certificate expiration
- September 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 29, 2005
- Facility type
- Rural health clinic
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 35D1046042
- Lab name
- Glen Ullin Family Medical Clinic
- Address
- 602 E Ash Ave, Glen Ullin, ND 58631
- Phone
- (701) 348-9175
- Fax
- (701) 348-9177
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Glen Ullin, ND
Related
Questions
What is the CLIA number for Glen Ullin Family Medical Clinic in Glen Ullin?
35D1046042, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Glen Ullin Family Medical Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 35D1046042 expire?
The CMS file lists September 28, 2027 as the certificate expiration date; the certificate took effect September 29, 2025.