27D0884022 CLIA NUMBER - GRANITE PEAK HOME HEALTH

Laboratory Demographics

  • CLIA Code: 27D0884022
  • Facility Name: GRANITE PEAK HOME HEALTH
  • Facility Address: 2909 WILSON STREET
    MILES CITY, MT
    ZIP 59301
  • Facility Phone: 406 874-5134
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MARLUS A. AMSDEN
  • NPI Number: 1528040904
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 27D0884022
LAB Type Home Health Agency
Facility Name GRANITE PEAK HOME HEALTH
Street 2909 WILSON STREET
City MILES CITY
State MT
ZIP 59301
Phone 406 874-5134
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/23/2024
Certificate Expiration Date 3/22/2026
Facility Type Home Health Agency
Lab Director MARLUS A. AMSDEN

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