27D0902736 CLIA NUMBER - NORTHERN ROCKIES SURGERY CENTER

Laboratory Demographics

CLIA Number: 27D0902736

Facility Name: NORTHERN ROCKIES SURGERY CENTER

Facility Address:
940 NORTH 30TH STREET
BILLINGS, MT
ZIP 59101
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Facility Phone Number: 406 248-7186

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1962469544

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	27D0902736
LAB Type	Ambulatory Surgery Center
Facility Name	NORTHERN ROCKIES SURGERY CENTER
Street	940 NORTH 30TH STREET
City	BILLINGS
State	MT
ZIP	59101
Phone	406 248-7186
CertificateType	4
CertificateEffectiveDate	6/28/2023
CertificateExpirationDate	6/27/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024