CLIA lab

CLIA 35D2200921: DR James G Lundstrom DDS PC

Fargo, ND. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 35D2200921 belongs to DR James G Lundstrom DDS PC in Fargo, ND.

Certificate of Waiver, effective November 18, 2024, expires November 17, 2026.

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
November 18, 2024
Certificate expiration
November 17, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
November 18, 2020
Facility type
Other practitioner
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
35D2200921
Lab name
DR James G Lundstrom DDS PC
Address
4110 40th St S Ste 102, Fargo, ND 58104
Phone
(701) 235-3803
Fax
(701) 293-1296

Annual test volume the lab reported

Waived tests
3,025

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for DR James G Lundstrom DDS PC in Fargo?

35D2200921, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does DR James G Lundstrom DDS PC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 35D2200921 expire?

The CMS file lists November 17, 2026 as the certificate expiration date; the certificate took effect November 18, 2024.

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