27D1091009 CLIA NUMBER - COSTCARE, PLLC

Laboratory Demographics

  • CLIA Code: 27D1091009
  • Facility Name: COSTCARE, PLLC
  • Facility Address: 2819 GREAT NORTHERN LOOP
    MISSOULA, MT
    ZIP 59808
  • Facility Phone: 406 541-3046
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CAROL BRIDGES
  • NPI Number: 1710171657
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 27D1091009
LAB Type Physician Office
Facility Name COSTCARE, PLLC
Street 2819 GREAT NORTHERN LOOP
City MISSOULA
State MT
ZIP 59808
Phone 406 541-3046
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2024
Certificate Expiration Date 10/22/2026
Facility Type Physician Office
Lab Director CAROL BRIDGES

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