27D0888601 CLIA NUMBER - DIALYSIS CLINIC INC BLACKFEET

Laboratory Demographics

  • CLIA Code: 27D0888601
  • Facility Name: DIALYSIS CLINIC INC BLACKFEET
  • Facility Address: HOSPITAL CIRCLE PO BOX 2950
    BROWNING, MT
    ZIP 59417
  • Facility Phone: 406 338-7473
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: LOIS GORSETH
  • NPI Number: 1124043815
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 27D0888601
LAB Type Other
Facility Name DIALYSIS CLINIC INC BLACKFEET
Street HOSPITAL CIRCLE PO BOX 2950
City BROWNING
State MT
ZIP 59417
Phone 406 338-7473
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2024
Certificate Expiration Date 7/10/2026
Facility Type Other
Lab Director LOIS GORSETH

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