27D2071752 CLIA NUMBER - GREAT FALLS DIALYSIS

Laboratory Demographics

  • CLIA Code: 27D2071752
  • Facility Name: GREAT FALLS DIALYSIS
  • Facility Address: 3400 10TH AVENUE SOUTH STE 1
    GREAT FALLS, MT
    ZIP 59405
  • Facility Phone: 406 727-0411
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: VARGHESE PARAMBI
  • NPI Number: 1578993663
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 27D2071752
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name GREAT FALLS DIALYSIS
Street 3400 10TH AVENUE SOUTH STE 1
City GREAT FALLS
State MT
ZIP 59405
Phone 406 727-0411
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2024
Certificate Expiration Date 1/16/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director VARGHESE PARAMBI

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