27D2011355 CLIA NUMBER - WALGREENS # 10083

Laboratory Demographics

  • CLIA Code: 27D2011355
  • Facility Name: WALGREENS # 10083
  • Facility Address: 2301 10TH AVE S
    GREAT FALLS, MT
    ZIP 59405
  • Facility Phone: 406 727-1376
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TREVOR JOHNSON
  • NPI Number: 1730390519
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 27D2011355
LAB Type Pharmacy
Facility Name WALGREENS # 10083
Street 2301 10TH AVE S
City GREAT FALLS
State MT
ZIP 59405
Phone 406 727-1376
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2025
Certificate Expiration Date 4/6/2027
Facility Type Pharmacy
Lab Director TREVOR JOHNSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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