27D1066579 CLIA NUMBER - ALL NATIONS HEALTH CENTER

Laboratory Demographics

CLIA Number: 27D1066579

Facility Name: ALL NATIONS HEALTH CENTER

Facility Address:
830 W CENTRAL AVE
MISSOULA, MT
ZIP 59801
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Facility Phone Number: 406 829-9515

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1649663923

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	27D1066579
LAB Type	Federally Qualified Health Center
Facility Name	ALL NATIONS HEALTH CENTER
Street	830 W CENTRAL AVE
City	MISSOULA
State	MT
ZIP	59801
Phone	406 829-9515
CertificateType	4
CertificateEffectiveDate	3/27/2023
CertificateExpirationDate	3/26/2025
FacilityType	Waiver

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