27D2103286 CLIA NUMBER - GRASSHOPPER VALLEY VOLUNTEER FIRE DEPT

Laboratory Demographics

  • CLIA Code: 27D2103286
  • Facility Name: GRASSHOPPER VALLEY VOLUNTEER FIRE DEPT
  • Facility Address: 10003 PIONEER SCENIC BYWAY HWY
    POLARIS, MT
    ZIP 59746
  • Facility Phone: 406 925-9227
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MICHAEL E. CLARKE
  • NPI Number: 1003099318
  • Taxonomy: 207PE0004X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 27D2103286
LAB Type Ambulance
Facility Name GRASSHOPPER VALLEY VOLUNTEER FIRE DEPT
Street 10003 PIONEER SCENIC BYWAY HWY
City POLARIS
State MT
ZIP 59746
Phone 406 925-9227
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2023
Certificate Expiration Date 10/7/2025
Facility Type Ambulance
Lab Director MICHAEL E. CLARKE

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