27D2102086 CLIA NUMBER - BIG SKY FIRE DEPARTMENT

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Laboratory Demographics

CLIA Number: 27D2102086

Facility Name: BIG SKY FIRE DEPARTMENT

Facility Address:
650 RAINBOW TROUT RUN
BIG SKY, MT
ZIP 59716
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Facility Phone Number: 406 995-2100

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1972625275

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	27D2102086
LAB Type	Ambulance
Facility Name	BIG SKY FIRE DEPARTMENT
Street	650 RAINBOW TROUT RUN
City	BIG SKY
State	MT
ZIP	59716
Phone	406 995-2100
CertificateType	4
CertificateEffectiveDate	9/15/2023
CertificateExpirationDate	9/14/2025
FacilityType	Waiver

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