27D2102193 CLIA NUMBER - HEBGEN BASIN RURAL FIRE DISTRICT

Laboratory Demographics

  • CLIA Code: 27D2102193
  • Facility Name: HEBGEN BASIN RURAL FIRE DISTRICT
  • Facility Address: 10 SOUTH FAITHFUL STREET
    WEST YELLOWSTONE, MT
    ZIP 59758
  • Facility Phone: 406 646-9094
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MR. SHANE D. GRUBE
  • NPI Number: 1417184086
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 27D2102193
LAB Type Ambulance
Facility Name HEBGEN BASIN RURAL FIRE DISTRICT
Street 10 SOUTH FAITHFUL STREET
City WEST YELLOWSTONE
State MT
ZIP 59758
Phone 406 646-9094
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2025
Certificate Expiration Date 9/16/2027
Facility Type Ambulance
Lab Director MR. SHANE D. GRUBE

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