27D0856443 CLIA NUMBER - IMMANUEL SKILLED CARE CENTER

Laboratory Demographics

  • CLIA Code: 27D0856443
  • Facility Name: IMMANUEL SKILLED CARE CENTER
  • Facility Address: 185 CRESTLINE AVE
    KALISPELL, MT
    ZIP 59901
  • Facility Phone: 406 752-9622
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MR. JIM J. ARCHIBALD
  • NPI Number: 1649279183
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 27D0856443
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name IMMANUEL SKILLED CARE CENTER
Street 185 CRESTLINE AVE
City KALISPELL
State MT
ZIP 59901
Phone 406 752-9622
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 Skilled Nursing Facility/Nursing Facility
Lab Director MR. JIM J. ARCHIBALD

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