27D2102086 CLIA NUMBER - BIG SKY FIRE DEPARTMENT

Laboratory Demographics

  • CLIA Code: 27D2102086
  • Facility Name: BIG SKY FIRE DEPARTMENT
  • Facility Address: 650 RAINBOW TROUT RUN
    BIG SKY, MT
    ZIP 59716
  • Facility Phone: 406 995-2100
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MR. STEPHEN T. PRUIETT
  • NPI Number: 1972625275
  • Taxonomy: 3416L0300X - Ambulance

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2025
Certificate Expiration Date 9/14/2027
Facility Type Ambulance
Lab Director MR. STEPHEN T. PRUIETT

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