27D0409695 CLIA NUMBER - BROADWATER CLINIC FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 27D0409695
  • Facility Name: BROADWATER CLINIC FAMILY MEDICINE
  • Facility Address: 2019 BROADWATER AVENUE
    BILLINGS, MT
    ZIP 59102
  • Facility Phone: 406 237-5200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BRYAN R. BLUMELL
  • NPI Number: 1558971986
  • Taxonomy: 208D00000X - General Practice

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 27D0409695
LAB Type Physician Office
Facility Name BROADWATER CLINIC FAMILY MEDICINE
Street 2019 BROADWATER AVENUE
City BILLINGS
State MT
ZIP 59102
Phone 406 237-5200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/3/2024
Certificate Expiration Date 7/2/2026
Facility Type Physician Office
Lab Director DR. BRYAN R. BLUMELL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025