27D0684509 CLIA NUMBER - FALLON MEDICAL COMPLEX HOSPITAL NH

Laboratory Demographics

  • CLIA Code: 27D0684509
  • Facility Name: FALLON MEDICAL COMPLEX HOSPITAL NH
  • Facility Address: DRAWER 820
    BAKER, MT
    ZIP 59313
  • Facility Phone: 406 778-3331
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: DARRYL ESPELAND
  • NPI Number: 1316965346
  • Taxonomy: 282NC0060X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 27D0684509
LAB Type Hospital
Facility Name FALLON MEDICAL COMPLEX HOSPITAL NH
Street DRAWER 820
City BAKER
State MT
ZIP 59313
Phone 406 778-3331
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 Hospital
Lab Director DARRYL ESPELAND

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