27D0410539 CLIA NUMBER - INTERMOUNTAIN HEALTH ST JAMES HOSPITAL

Laboratory Demographics

  • CLIA Code: 27D0410539
  • Facility Name: INTERMOUNTAIN HEALTH ST JAMES HOSPITAL
  • Facility Address: 400 S CLARK ST
    BUTTE, MT
    ZIP 59701
  • Facility Phone: 406 723-2600
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. RANDALL J. SHANNON
  • NPI Number: 1255413381
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 27D0410539
LAB Type Hospital
Facility Name INTERMOUNTAIN HEALTH ST JAMES HOSPITAL
Street 400 S CLARK ST
City BUTTE
State MT
ZIP 59701
Phone 406 723-2600
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Hospital
Lab Director DR. RANDALL J. SHANNON

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