27D2006790 CLIA NUMBER - EMBARK AT FLATHEAD VALLEY

Laboratory Demographics

  • CLIA Code: 27D2006790
  • Facility Name: EMBARK AT FLATHEAD VALLEY
  • Facility Address: 9705 LOST PRAIRIE ROAD
    MARION, MT
    ZIP 59925
  • Facility Phone: 406 858-2339
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: DR. WILLIAM ELLIS II BUNN
  • NPI Number: 1184806432
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

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CLIA Record

Field Name Field Value
CLIA Number 27D2006790
LAB Type School/Student Health Service
Facility Name EMBARK AT FLATHEAD VALLEY
Street 9705 LOST PRAIRIE ROAD
City MARION
State MT
ZIP 59925
Phone 406 858-2339
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2023
Certificate Expiration Date 9/26/2025
Facility Type School/Student Health Service
Lab Director DR. WILLIAM ELLIS II BUNN

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This page was last updated on: 6/4/2025