27D2055020 CLIA NUMBER - TERESA MANN, MD, PC DBA PURE DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 27D2055020
  • Facility Name: TERESA MANN, MD, PC DBA PURE DERMATOLOGY
  • Facility Address: 2233 WEST KAGY, SUITE 2
    BOZEMAN, MT
    ZIP 59718
  • Facility Phone: 406 586-7873
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. TERESA P. MANN
  • NPI Number: 1174632277
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 27D2055020
LAB Type Physician Office
Facility Name TERESA MANN, MD, PC DBA PURE DERMATOLOGY
Street 2233 WEST KAGY, SUITE 2
City BOZEMAN
State MT
ZIP 59718
Phone 406 586-7873
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 9/24/2025
Certificate Expiration Date 9/23/2027
Facility Type Physician Office
Lab Director DR. TERESA P. MANN

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