27D1041258 CLIA NUMBER - FLORENCE PHARMACY - NORTH

Laboratory Demographics

  • CLIA Code: 27D1041258
  • Facility Name: FLORENCE PHARMACY - NORTH
  • Facility Address: 5549 OLD HIGHWAY 93
    FLORENCE, MT
    ZIP 59833
  • Facility Phone: 406 273-6565
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PAUL E. BRAND
  • NPI Number: 1184385551
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 27D1041258
LAB Type Pharmacy
Facility Name FLORENCE PHARMACY - NORTH
Street 5549 OLD HIGHWAY 93
City FLORENCE
State MT
ZIP 59833
Phone 406 273-6565
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2025
Certificate Expiration Date 5/25/2027
Facility Type Pharmacy
Lab Director PAUL E. BRAND

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