27D2009196 CLIA NUMBER - PRESTIGE ASSISTED LIVING AT KALISPELL

Home > CLIA Lookup > 27D2009196

Laboratory Demographics

CLIA Number: 27D2009196

Facility Name: PRESTIGE ASSISTED LIVING AT KALISPELL

Facility Address:
125 GLENWOOD DR
KALISPELL, MT
ZIP 59901
Get Directions

Facility Phone Number: 406 756-1818

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1922135110

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	27D2009196
LAB Type	Assisted Living Facility
Facility Name	PRESTIGE ASSISTED LIVING AT KALISPELL
Street	125 GLENWOOD DR
City	KALISPELL
State	MT
ZIP	59901
Phone	406 756-1818
CertificateType	4
CertificateEffectiveDate	6/28/2022
CertificateExpirationDate	6/27/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024