27D0701978 CLIA NUMBER - SUSAN H AVERY MD PC

Laboratory Demographics

  • CLIA Code: 27D0701978
  • Facility Name: SUSAN H AVERY MD PC
  • Facility Address: 401 15TH AVE S #110
    GREAT FALLS, MT
    ZIP 59405
  • Facility Phone: 406 761-2399
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUSAN H. AVERY
  • NPI Number: 1437244845
  • Taxonomy: 207QA0505X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 27D0701978
LAB Type Physician Office
Facility Name SUSAN H AVERY MD PC
Street 401 15TH AVE S #110
City GREAT FALLS
State MT
ZIP 59405
Phone 406 761-2399
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 Physician Office
Lab Director SUSAN H. AVERY

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