27D2044543 CLIA NUMBER - THE EYE CLINIC SURGICENTER

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Laboratory Demographics

CLIA Number: 27D2044543

Facility Name: THE EYE CLINIC SURGICENTER

Facility Address:
2475 VILLAGE LN #202
BILLINGS, MT
ZIP 59102
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Facility Phone Number: 406 252-6608

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1609882810

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	27D2044543
LAB Type	Ambulatory Surgery Center
Facility Name	THE EYE CLINIC SURGICENTER
Street	2475 VILLAGE LN #202
City	BILLINGS
State	MT
ZIP	59102
Phone	406 252-6608
CertificateType	4
CertificateEffectiveDate	7/25/2022
CertificateExpirationDate	7/24/2024
FacilityType	Waiver

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