27D2079555 CLIA NUMBER - VSR LLC D/B/A VILLAGE SENIOR RESIDENCE, THE

Laboratory Demographics

  • CLIA Code: 27D2079555
  • Facility Name: VSR LLC D/B/A VILLAGE SENIOR RESIDENCE, THE
  • Facility Address: 2815 OLD FORT ROAD
    MISSOULA, MT
    ZIP 59804
  • Facility Phone: 406 549-1300
  • Facility Type: Other - RESIDENTIAL CARE FACILITY
  • Facility Type: Waiver
  • Lab Director: JOY DAWE
  • NPI Number: 1245268671
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 27D2079555
LAB Type Other - RESIDENTIAL CARE FACILITY
Facility Name VSR LLC D/B/A VILLAGE SENIOR RESIDENCE, THE
Street 2815 OLD FORT ROAD
City MISSOULA
State MT
ZIP 59804
Phone 406 549-1300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2024
Certificate Expiration Date 6/17/2026
Facility Type Other - RESIDENTIAL CARE FACILITY
Lab Director JOY DAWE

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