27D0864989 CLIA NUMBER - ROOSEVELT COUNTY HEALTH DEPT

Laboratory Demographics

  • CLIA Code: 27D0864989
  • Facility Name: ROOSEVELT COUNTY HEALTH DEPT
  • Facility Address: 124 CUSTER STREET
    WOLF POINT, MT
    ZIP 59201
  • Facility Phone: 406 653-1590
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: MARK ZILKOSKI MD
  • NPI Number: 1962566034
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 27D0864989
LAB Type Other
Facility Name ROOSEVELT COUNTY HEALTH DEPT
Street 124 CUSTER STREET
City WOLF POINT
State MT
ZIP 59201
Phone 406 653-1590
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 Other
Lab Director MARK ZILKOSKI MD

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