CLIA lab

CLIA 35D2205669: Beverly Anne Assisted Living

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

CLIA number 35D2205669 belongs to Beverly Anne Assisted Living in Lisbon, ND.

Certificate of Waiver, effective December 15, 2024, expires December 14, 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
December 15, 2024
Certificate expiration
December 14, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 15, 2020
Facility type
Assisted living facility
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
35D2205669
Lab name
Beverly Anne Assisted Living
Address
400 Jackson Ave E, Lisbon, ND 58054
Phone
(701) 683-4092
Fax
(701) 683-0331

Annual test volume the lab reported

Waived tests
3,640

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 Beverly Anne Assisted Living in Lisbon?

35D2205669, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Beverly Anne Assisted Living hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 35D2205669 expire?

The CMS file lists December 14, 2026 as the certificate expiration date; the certificate took effect December 15, 2024.

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