CLIA lab

CLIA 35D2316987: Edgewood Lakewood Mandan LLC

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

CLIA number 35D2316987 belongs to Edgewood Lakewood Mandan LLC in Mandan, ND.

Certificate of Waiver, effective January 16, 2025, expires January 15, 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
January 16, 2025
Certificate expiration
January 15, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 16, 2025
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
35D2316987
Lab name
Edgewood Lakewood Mandan LLC
Address
4401 21st St SE, Mandan, ND 58554
Phone
(701) 738-2000
Fax
(701) 738-2001

Annual test volume the lab reported

Waived tests
1,500

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 Edgewood Lakewood Mandan LLC in Mandan?

35D2316987, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Edgewood Lakewood Mandan LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 35D2316987 expire?

The CMS file lists January 15, 2027 as the certificate expiration date; the certificate took effect January 16, 2025.

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