27D1069355 CLIA NUMBER - PREMIER CARE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 27D1069355
  • Facility Name: PREMIER CARE PEDIATRICS
  • Facility Address: 926 13TH AVE S
    GREAT FALLS, MT
    ZIP 59405
  • Facility Phone: 406 770-3000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL K. GARVER
  • NPI Number: 1215361761
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 27D1069355
LAB Type Physician Office
Facility Name PREMIER CARE PEDIATRICS
Street 926 13TH AVE S
City GREAT FALLS
State MT
ZIP 59405
Phone 406 770-3000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2025
Certificate Expiration Date 6/3/2027
Facility Type Physician Office
Lab Director DR. MICHAEL K. GARVER

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