27D0875932 CLIA NUMBER - ST LUKE COMMUNITY CLINICS RONAN

Laboratory Demographics

  • CLIA Code: 27D0875932
  • Facility Name: ST LUKE COMMUNITY CLINICS RONAN
  • Facility Address: 126 6TH AVENUE SW
    RONAN, MT
    ZIP 59864
  • Facility Phone: 406 676-3600
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: E VIZCARRA
  • NPI Number: 1093876344
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 27D0875932
LAB Type Physician Office
Facility Name ST LUKE COMMUNITY CLINICS RONAN
Street 126 6TH AVENUE SW
City RONAN
State MT
ZIP 59864
Phone 406 676-3600
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Physician Office
Lab Director E VIZCARRA

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