27D0411341 CLIA NUMBER - GLACIER MEDICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 27D0411341
  • Facility Name: GLACIER MEDICAL ASSOCIATES
  • Facility Address: 1111 BAKER AVENUE
    WHITEFISH, MT
    ZIP 59937
  • Facility Phone: 406 862-2515
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. JON MILLER
  • NPI Number: 1396349718
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 27D0411341
LAB Type Physician Office
Facility Name GLACIER MEDICAL ASSOCIATES
Street 1111 BAKER AVENUE
City WHITEFISH
State MT
ZIP 59937
Phone 406 862-2515
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 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director DR. JON MILLER

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