27D0411314 CLIA NUMBER - LIBBY CLINIC PLLP

Laboratory Demographics

  • CLIA Code: 27D0411314
  • Facility Name: LIBBY CLINIC PLLP
  • Facility Address: 211 E 2ND ST
    LIBBY, MT
    ZIP 59923
  • Facility Phone: 406 293-8711
  • Facility Type: Rural Health Clinic
  • Facility Type: Microscopy
  • Lab Director: DR. GLENNE GUNTHER
  • NPI Number: 1306818034
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 27D0411314
LAB Type Rural Health Clinic
Facility Name LIBBY CLINIC PLLP
Street 211 E 2ND ST
City LIBBY
State MT
ZIP 59923
Phone 406 293-8711
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/25/2024
Certificate Expiration Date 6/24/2026
Facility Type Rural Health Clinic
Lab Director DR. GLENNE GUNTHER

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