27D1011428 CLIA NUMBER - NORTH AMERICAN INDIAN ALLIANCE

Laboratory Demographics

CLIA Number: 27D1011428

Facility Name: NORTH AMERICAN INDIAN ALLIANCE

Facility Address:
55 EAST GALENA
BUTTE, MT
ZIP 59701
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Facility Phone Number: 406 782-0461

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1154625382

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	27D1011428
LAB Type	Community Clinic
Facility Name	NORTH AMERICAN INDIAN ALLIANCE
Street	55 EAST GALENA
City	BUTTE
State	MT
ZIP	59701
Phone	406 782-0461
CertificateType	4
CertificateEffectiveDate	11/10/2022
CertificateExpirationDate	11/9/2024
FacilityType	Waiver

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