27D1102553 CLIA NUMBER - HATCH PEDIATRICS, LLC

Laboratory Demographics

  • CLIA Code: 27D1102553
  • Facility Name: HATCH PEDIATRICS, LLC
  • Facility Address: 280 W KAGY BLVD, STE G
    BOZEMAN, MT
    ZIP 59715
  • Facility Phone: 406 587-5870
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. SUSAN M. DANIELS
  • NPI Number: 1073974135
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 27D1102553
LAB Type Physician Office
Facility Name HATCH PEDIATRICS, LLC
Street 280 W KAGY BLVD, STE G
City BOZEMAN
State MT
ZIP 59715
Phone 406 587-5870
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/19/2024
Certificate Expiration Date 1/18/2026
Facility Type Physician Office
Lab Director DR. SUSAN M. DANIELS

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