27D2102682 CLIA NUMBER - FLATHEAD CO SHERIFF'S OFFICE

Laboratory Demographics

CLIA Number: 27D2102682

Facility Name: FLATHEAD CO SHERIFF'S OFFICE

Facility Address:
920 S MAIN ST SUITE 100
KALISPELL, MT
ZIP 59901
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Facility Phone Number: 406 758-5594

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1972965499

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	27D2102682
LAB Type	Practitioner Other
Facility Name	FLATHEAD CO SHERIFF'S OFFICE
Street	920 S MAIN ST SUITE 100
City	KALISPELL
State	MT
ZIP	59901
Phone	406 758-5594
CertificateType	4
CertificateEffectiveDate	9/28/2023
CertificateExpirationDate	9/27/2025
FacilityType	Waiver

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