27D0410560 CLIA NUMBER - COMMUNITY HOSPITAL OF ANACONDA LABORATORY

Laboratory Demographics

  • CLIA Code: 27D0410560
  • Facility Name: COMMUNITY HOSPITAL OF ANACONDA LABORATORY
  • Facility Address: 401 W PENNSYLVANIA
    ANACONDA, MT
    ZIP 59711
  • Facility Phone: 406 563-8575
  • Facility Type: Hospital
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. RANDALL J. SHANNON
  • NPI Number: 1093265035
  • Taxonomy: 261QP2000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 27D0410560
LAB Type Hospital
Facility Name COMMUNITY HOSPITAL OF ANACONDA LABORATORY
Street 401 W PENNSYLVANIA
City ANACONDA
State MT
ZIP 59711
Phone 406 563-8575
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/4/2024
Certificate Expiration Date 1/3/2026
Facility Type Hospital
Lab Director DR. RANDALL J. SHANNON

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This page was last updated on: 3/20/2025