27D0410970 CLIA NUMBER - PROVIDENCE SAINT PATRICK HOSPITAL

Laboratory Demographics

  • CLIA Code: 27D0410970
  • Facility Name: PROVIDENCE SAINT PATRICK HOSPITAL
  • Facility Address: 500 WEST BROADWAY
    MISSOULA, MT
    ZIP 59802
  • Facility Phone: 406 329-5838
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. ISAAC GRINDELAND
  • NPI Number: 1023032588
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 27D0410970
LAB Type Hospital
Facility Name PROVIDENCE SAINT PATRICK HOSPITAL
Street 500 WEST BROADWAY
City MISSOULA
State MT
ZIP 59802
Phone 406 329-5838
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 8/14/2025
Certificate Expiration Date 8/13/2027
Facility Type Hospital
Lab Director DR. ISAAC GRINDELAND

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