27D0707089 CLIA NUMBER - FIVE VALLEYS UROLOGY

Laboratory Demographics

  • CLIA Code: 27D0707089
  • Facility Name: FIVE VALLEYS UROLOGY
  • Facility Address: 2875 TINA AVENUE SUITE 101
    MISSOULA, MT
    ZIP 59808
  • Facility Phone: (406) 728-3366
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. BRIAN N. KELLY
  • NPI Number: 1720067705
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 27D0707089
LAB Type Physician Office
Facility Name FIVE VALLEYS UROLOGY
Street 2875 TINA AVENUE SUITE 101
City MISSOULA
State MT
ZIP 59808
Phone 4067283366
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 9/14/2025
Certificate Expiration Date 9/13/2027
Facility Type Physician Office
Lab Director DR. BRIAN N. KELLY

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This page was last updated on: 5/18/2026