27D0965922 CLIA NUMBER - GREAT FALLS CLINIC HOSPITAL NORTHWEST LAB

Laboratory Demographics

  • CLIA Code: 27D0965922
  • Facility Name: GREAT FALLS CLINIC HOSPITAL NORTHWEST LAB
  • Facility Address: 1600 DIVISION ROAD
    GREAT FALLS, MT
    ZIP 59404
  • Facility Phone: 406 771-3554
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. SUE E. BAHNMILLER
  • NPI Number: 1992511620
  • Taxonomy: 1223X0400X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 27D0965922
LAB Type Physician Office
Facility Name GREAT FALLS CLINIC HOSPITAL NORTHWEST LAB
Street 1600 DIVISION ROAD
City GREAT FALLS
State MT
ZIP 59404
Phone 406 771-3554
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 10/16/2025
Certificate Expiration Date 10/15/2027
Facility Type Physician Office
Lab Director DR. SUE E. BAHNMILLER

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