27D2104447 CLIA NUMBER - SHEPHERD VOLUNTEER FIRE DEPARTMENT

Laboratory Demographics

  • CLIA Code: 27D2104447
  • Facility Name: SHEPHERD VOLUNTEER FIRE DEPARTMENT
  • Facility Address: 5453 CAREY AVE
    SHEPHERD, MT
    ZIP 59079
  • Facility Phone: 406 671-8322
  • Facility Type: Other - NON TRANSPORTING MEDICAL
  • Facility Type: Waiver
  • Lab Director: LISA M. OPENSHAW
  • NPI Number: 1891902011
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 27D2104447
LAB Type Other - NON TRANSPORTING MEDICAL
Facility Name SHEPHERD VOLUNTEER FIRE DEPARTMENT
Street 5453 CAREY AVE
City SHEPHERD
State MT
ZIP 59079
Phone 406 671-8322
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2023
Certificate Expiration Date 11/3/2025
Facility Type Other - NON TRANSPORTING MEDICAL
Lab Director LISA M. OPENSHAW

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