27D2007717 CLIA NUMBER - LOGAN HEALTH WEST GLACIER

Laboratory Demographics

  • CLIA Code: 27D2007717
  • Facility Name: LOGAN HEALTH WEST GLACIER
  • Facility Address: 100 RURAL ELECTRIC AVENUE
    WEST GLACIER, MT
    ZIP 59936
  • Facility Phone: 406 863-3500
  • Facility Type: Other - HOSPITAL URGENT CARE
  • Facility Type: Waiver
  • Lab Director: MS. JUDITH N. SMITH
  • NPI Number: 1679658074
  • Taxonomy: 207L00000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 27D2007717
LAB Type Other - HOSPITAL URGENT CARE
Facility Name LOGAN HEALTH WEST GLACIER
Street 100 RURAL ELECTRIC AVENUE
City WEST GLACIER
State MT
ZIP 59936
Phone 406 863-3500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2024
Certificate Expiration Date 5/23/2026
Facility Type Other - HOSPITAL URGENT CARE
Lab Director MS. JUDITH N. SMITH

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