27D1026742 CLIA NUMBER - CORVALLIS FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 27D1026742
  • Facility Name: CORVALLIS FAMILY MEDICINE
  • Facility Address: 1037 MAIN STREET
    CORVALLIS, MT
    ZIP 59828
  • Facility Phone: 406 961-4661
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: YVONNE K. COURCHESNE, MD
  • NPI Number: 1093870560
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 27D1026742
LAB Type Physician Office
Facility Name CORVALLIS FAMILY MEDICINE
Street 1037 MAIN STREET
City CORVALLIS
State MT
ZIP 59828
Phone 406 961-4661
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 6/15/2024
Certificate Expiration Date 6/14/2026
Facility Type Physician Office
Lab Director YVONNE K. COURCHESNE, MD

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