27D1031954 CLIA NUMBER - OSCO PHARMACY #0042

Laboratory Demographics

  • CLIA Code: 27D1031954
  • Facility Name: OSCO PHARMACY #0042
  • Facility Address: 2120 PARK STREET SOUTH
    LIVINGSTON, MT
    ZIP 59047
  • Facility Phone: 406 222-1188
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALEXANDER MATTUCCI
  • NPI Number: 1619923265
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 27D1031954
LAB Type Pharmacy
Facility Name OSCO PHARMACY #0042
Street 2120 PARK STREET SOUTH
City LIVINGSTON
State MT
ZIP 59047
Phone 406 222-1188
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 ALEXANDER MATTUCCI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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