27D2040673 CLIA NUMBER - WALGREENS #11503

Laboratory Demographics

  • CLIA Code: 27D2040673
  • Facility Name: WALGREENS #11503
  • Facility Address: 3333 GRAND AVE
    BILLINGS, MT
    ZIP 59102
  • Facility Phone: 406 652-1620
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. DYLANHTTPS://WEB.QIE T. JOB
  • NPI Number: 1588851315
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 27D2040673
LAB Type Pharmacy
Facility Name WALGREENS #11503
Street 3333 GRAND AVE
City BILLINGS
State MT
ZIP 59102
Phone 406 652-1620
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2025
Certificate Expiration Date 8/1/2027
Facility Type Pharmacy
Lab Director MR. DYLANHTTPS://WEB.QIE T. JOB

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