27D0409769 CLIA NUMBER - LISTERUD RURAL HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 27D0409769
  • Facility Name: LISTERUD RURAL HEALTH CLINIC
  • Facility Address: 301 KNAPP STREET
    WOLF POINT, MT
    ZIP 59201
  • Facility Phone: 406 653-2150
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: GINA M. NEFZGER
  • NPI Number: 1992722904
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 27D0409769
LAB Type Rural Health Clinic
Facility Name LISTERUD RURAL HEALTH CLINIC
Street 301 KNAPP STREET
City WOLF POINT
State MT
ZIP 59201
Phone 406 653-2150
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2025
Certificate Expiration Date 6/11/2027
Facility Type Rural Health Clinic
Lab Director GINA M. NEFZGER

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