27D0867952 CLIA NUMBER - DIALYSIS CLINIC INC KALISPELL

Laboratory Demographics

  • CLIA Code: 27D0867952
  • Facility Name: DIALYSIS CLINIC INC KALISPELL
  • Facility Address: 135 COMMONS WAY
    KALISPELL, MT
    ZIP 59901
  • Facility Phone: 406 756-5565
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SCOT BORN,MD
  • NPI Number: 1790227403
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 27D0867952
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIALYSIS CLINIC INC KALISPELL
Street 135 COMMONS WAY
City KALISPELL
State MT
ZIP 59901
Phone 406 756-5565
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 End Stage Renal Disease Dialysis Facility
Lab Director SCOT BORN,MD

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