27D0696973 CLIA NUMBER - BATES FAMILY DIVERSIFIED, LLC DBA THREE RIVERS CLINIC INC

Laboratory Demographics

  • CLIA Code: 27D0696973
  • Facility Name: BATES FAMILY DIVERSIFIED, LLC DBA THREE RIVERS CLINIC INC
  • Facility Address: 16 RAILWAY AVENUE
    THREE FORKS, MT
    ZIP 59752
  • Facility Phone: 406 285-3251
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: LAUREN M. MCKAY
  • NPI Number: 1003466822
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 27D0696973
LAB Type Community Clinic
Facility Name BATES FAMILY DIVERSIFIED, LLC DBA THREE RIVERS CLINIC INC
Street 16 RAILWAY AVENUE
City THREE FORKS
State MT
ZIP 59752
Phone 406 285-3251
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2025
Certificate Expiration Date 7/29/2027
Facility Type Community Clinic
Lab Director LAUREN M. MCKAY

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