27D1031939 CLIA NUMBER - OSCO PHARMACY #0018

Laboratory Demographics

  • CLIA Code: 27D1031939
  • Facility Name: OSCO PHARMACY #0018
  • Facility Address: 900 W IDAHO ST
    KALISPELL, MT
    ZIP 59901
  • Facility Phone: 406 257-7556
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TRAVIS MILLER
  • NPI Number: 1700832623
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 27D1031939
LAB Type Pharmacy
Facility Name OSCO PHARMACY #0018
Street 900 W IDAHO ST
City KALISPELL
State MT
ZIP 59901
Phone 406 257-7556
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2024
Certificate Expiration Date 10/12/2026
Facility Type Pharmacy
Lab Director TRAVIS MILLER

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