27D0901560 CLIA NUMBER - PROVIDENCE PRIMARY CARE - STEVENSVILLE

Laboratory Demographics

  • CLIA Code: 27D0901560
  • Facility Name: PROVIDENCE PRIMARY CARE - STEVENSVILLE
  • Facility Address: 715 MAIN STREET SUITE A
    STEVENSVILLE, MT
    ZIP 59870
  • Facility Phone: (406) 777-5522
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. LAURA SHELTON

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CLIA Record

Field Name Field Value
CLIA Number 27D0901560
LAB Type Physician Office
Facility Name PROVIDENCE PRIMARY CARE - STEVENSVILLE
Street 715 MAIN STREET SUITE A
City STEVENSVILLE
State MT
ZIP 59870
Phone 4067775522
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 9/1/2025
Certificate Expiration Date 8/31/2027
Facility Type Physician Office
Lab Director DR. LAURA SHELTON

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This page was last updated on: 5/18/2026