CLIA lab
CLIA 35D1099200: Bethany on 42nd
Fargo, ND. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 35D1099200 belongs to Bethany on 42nd in Fargo, ND.
Certificate of Waiver, effective May 7, 2025, expires May 6, 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 7, 2025
- Certificate expiration
- May 6, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 7, 2009
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Religious affiliation
- 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
- 35D1099200
- Lab name
- Bethany on 42nd
- Address
- 4255 30th Ave S, Fargo, ND 58104
- Phone
- (701) 239-3000
- Fax
- (701) 239-3237
Annual test volume the lab reported
- Waived tests
- 18,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Bethany on 42ndCMS Care Compare ratings for the facility at the same street address
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- American Lutheran Homes IncCertificate of Waiver, Skilled nursing or nursing facility35D0697876
- Arch DentalCertificate of Waiver, Other practitioner35D2218619
- Bagan Strinden VisionCertificate of Waiver, Physician office35D2036207
- Bergstrom Eye & Laser ClinicCertificate of Waiver, Physician office35D1083350
- Bergstrom Eye ResearchCertificate of Waiver, Other35D2166317
- Bethany Home Health CareCertificate of Waiver, Home health agency35D0993819
- Bicycle Health Medical Group - North DakotaCertificate of Waiver, Physician office35D2306768
- Biolife Plasma Services LPCertificate of Compliance, Other35D0676905
Related
Questions
What is the CLIA number for Bethany on 42nd in Fargo?
35D1099200, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Bethany on 42nd hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 35D1099200 expire?
The CMS file lists May 6, 2027 as the certificate expiration date; the certificate took effect May 7, 2025.