27D0652516 CLIA NUMBER - BEAR PAW HOSPICE

Laboratory Demographics

  • CLIA Code: 27D0652516
  • Facility Name: BEAR PAW HOSPICE
  • Facility Address: 120 13TH STREET
    HAVRE, MT
    ZIP 59501
  • Facility Phone: 406 262-1417
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DR. KEVIN A. HARADA
  • NPI Number: 1033762992
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 27D0652516
LAB Type Hospice
Facility Name BEAR PAW HOSPICE
Street 120 13TH STREET
City HAVRE
State MT
ZIP 59501
Phone 406 262-1417
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 Hospice
Lab Director DR. KEVIN A. HARADA

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