27D0409577 CLIA NUMBER - PLANNED PARENTHOOD OF MONTANA

Laboratory Demographics

  • CLIA Code: 27D0409577
  • Facility Name: PLANNED PARENTHOOD OF MONTANA
  • Facility Address: 1500 CANNON STREET
    HELENA, MT
    ZIP 59601
  • Facility Phone: 406 248-3636
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: DR. SAMUEL L. DICKMAN
  • NPI Number: 1134297179
  • Taxonomy: 261QF0050X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 27D0409577
LAB Type Community Clinic
Facility Name PLANNED PARENTHOOD OF MONTANA
Street 1500 CANNON STREET
City HELENA
State MT
ZIP 59601
Phone 406 248-3636
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/14/2025
Certificate Expiration Date 1/13/2027
Facility Type Community Clinic
Lab Director DR. SAMUEL L. DICKMAN

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This page was last updated on: 9/29/2025