27D0917357 CLIA NUMBER - ONE HEALTH BOZEMAN

Laboratory Demographics

  • CLIA Code: 27D0917357
  • Facility Name: ONE HEALTH BOZEMAN
  • Facility Address: 1695 TSCHACHE LANE
    BOZEMAN, MT
    ZIP 59718
  • Facility Phone: 406 585-1360
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: DR. STEFANIE K. LANGE
  • NPI Number: 1013669076
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 27D0917357
LAB Type Federally Qualified Health Center
Facility Name ONE HEALTH BOZEMAN
Street 1695 TSCHACHE LANE
City BOZEMAN
State MT
ZIP 59718
Phone 406 585-1360
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 7/16/2024
Certificate Expiration Date 7/15/2026
Facility Type Federally Qualified Health Center
Lab Director DR. STEFANIE K. LANGE

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This page was last updated on: 3/20/2025