27D2098843 CLIA NUMBER - MINERAL COMMUNITY HOSPITAL JACK LINCOLN CLINIC

Laboratory Demographics

  • CLIA Code: 27D2098843
  • Facility Name: MINERAL COMMUNITY HOSPITAL JACK LINCOLN CLINIC
  • Facility Address: 341 HWY 135
    ST REGIS, MT
    ZIP 59866
  • Facility Phone: 406 649-7307
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. JACOB WHETZEL
  • NPI Number: 1003836313
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 27D2098843
LAB Type Community Clinic
Facility Name MINERAL COMMUNITY HOSPITAL JACK LINCOLN CLINIC
Street 341 HWY 135
City ST REGIS
State MT
ZIP 59866
Phone 406 649-7307
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2024
Certificate Expiration Date 11/30/2026
Facility Type Community Clinic
Lab Director DR. JACOB WHETZEL

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