27D0652483 CLIA NUMBER - FORT PECK TRIBAL DIALYSIS UNIT

Laboratory Demographics

  • CLIA Code: 27D0652483
  • Facility Name: FORT PECK TRIBAL DIALYSIS UNIT
  • Facility Address: 107 H STREET EAST
    POPLAR, MT
    ZIP 59255
  • Facility Phone: 406 768-5468
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: PATTI FELLER
  • NPI Number: 1659483048
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 27D0652483
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FORT PECK TRIBAL DIALYSIS UNIT
Street 107 H STREET EAST
City POPLAR
State MT
ZIP 59255
Phone 406 768-5468
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director PATTI FELLER

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