27D1066579 CLIA NUMBER - ALL NATIONS HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 27D1066579
  • Facility Name: ALL NATIONS HEALTH CENTER
  • Facility Address: 830 W CENTRAL AVE
    MISSOULA, MT
    ZIP 59801
  • Facility Phone: 406 829-9515
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: KODI TALL BULL
  • NPI Number: 1649663923
  • Taxonomy: 261QF0400X - Clinic/Center

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2023
Certificate Expiration Date 3/26/2025
Facility Type Federally Qualified Health Center
Lab Director KODI TALL BULL

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This page was last updated on: 3/20/2025