27D0871374 CLIA NUMBER - POPLAR

Laboratory Demographics

  • CLIA Code: 27D0871374
  • Facility Name: POPLAR
  • Facility Address: 211 H ST
    POPLAR, MT
    ZIP 59255
  • Facility Phone: 406 768-6160
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: TAMARA TEICHROEW
  • NPI Number: 1740497726
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 27D0871374
LAB Type Rural Health Clinic
Facility Name POPLAR
Street 211 H ST
City POPLAR
State MT
ZIP 59255
Phone 406 768-6160
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2025
Certificate Expiration Date 6/1/2027
Facility Type Rural Health Clinic
Lab Director TAMARA TEICHROEW

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