27D0908660 CLIA NUMBER - JON C KOLSTAD O D P C/THE EYE CLINIC

Laboratory Demographics

  • CLIA Code: 27D0908660
  • Facility Name: JON C KOLSTAD O D P C/THE EYE CLINIC
  • Facility Address: 133 3RD STREET SOUTH
    GLASGOW, MT
    ZIP 59230
  • Facility Phone: (406) 228-8641
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JON C. KOLSTAD
  • NPI Number: 1639361058
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 27D0908660
LAB Type Physician Office
Facility Name JON C KOLSTAD O D P C/THE EYE CLINIC
Street 133 3RD STREET SOUTH
City GLASGOW
State MT
ZIP 59230
Phone 4062288641
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2025
Certificate Expiration Date 11/8/2027
Facility Type Physician Office
Lab Director JON C. KOLSTAD

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