27D2025866 CLIA NUMBER - ADVANCED PAIN AND SPINE INSTITUTE OF MONTANA

Laboratory Demographics

  • CLIA Code: 27D2025866
  • Facility Name: ADVANCED PAIN AND SPINE INSTITUTE OF MONTANA
  • Facility Address: 2740 SOUTH AVENUE WEST, SUITE 201
    MISSOULA, MT
    ZIP 59804
  • Facility Phone: 406 541-7246
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. PATRICK R. DANAHER
  • NPI Number: 1578516480
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 27D2025866
LAB Type Physician Office
Facility Name ADVANCED PAIN AND SPINE INSTITUTE OF MONTANA
Street 2740 SOUTH AVENUE WEST, SUITE 201
City MISSOULA
State MT
ZIP 59804
Phone 406 541-7246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2025
Certificate Expiration Date 6/19/2027
Facility Type Physician Office
Lab Director DR. PATRICK R. DANAHER

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