27D2041727 CLIA NUMBER - WALGREENS #12347

Laboratory Demographics

  • CLIA Code: 27D2041727
  • Facility Name: WALGREENS #12347
  • Facility Address: 700 E 13TH ST ATTN LICENSING DEPARTMENT
    WHITEFISH, MT
    ZIP 59937
  • Facility Phone: 406 862-7391
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMBER C. MCCOLLUM
  • NPI Number: 1639310832
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 27D2041727
LAB Type Pharmacy
Facility Name WALGREENS #12347
Street 700 E 13TH ST ATTN LICENSING DEPARTMENT
City WHITEFISH
State MT
ZIP 59937
Phone 406 862-7391
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2025
Certificate Expiration Date 5/3/2027
Facility Type Pharmacy
Lab Director AMBER C. MCCOLLUM

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