27D0411177 CLIA NUMBER - DERMATOLOGY ASSOCIATES, PLLP

Laboratory Demographics

  • CLIA Code: 27D0411177
  • Facility Name: DERMATOLOGY ASSOCIATES, PLLP
  • Facility Address: 175 COMMONS LOOP, SUITE 300
    KALISPELL, MT
    ZIP 59901
  • Facility Phone: 406 756-7555
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. BLAKE SAMPSON
  • NPI Number: 1114093846
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 27D0411177
LAB Type Physician Office
Facility Name DERMATOLOGY ASSOCIATES, PLLP
Street 175 COMMONS LOOP, SUITE 300
City KALISPELL
State MT
ZIP 59901
Phone 406 756-7555
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 11/8/2023
Certificate Expiration Date 11/7/2025
Facility Type Physician Office
Lab Director DR. BLAKE SAMPSON

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