27D2108224 CLIA NUMBER - FISHER RIVER VALLEY FIRE/RESCUE

Laboratory Demographics

CLIA Number: 27D2108224

Facility Name: FISHER RIVER VALLEY FIRE/RESCUE

Facility Address:
70 WEST CAMP ROAD
LIBBY, MT
ZIP 59923
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Facility Phone Number: 406 293-3907

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1982717625

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	27D2108224
LAB Type	Ambulance
Facility Name	FISHER RIVER VALLEY FIRE/RESCUE
Street	70 WEST CAMP ROAD
City	LIBBY
State	MT
ZIP	59923
Phone	406 293-3907
CertificateType	4
CertificateEffectiveDate	2/1/2024
CertificateExpirationDate	1/31/2026
FacilityType	Waiver

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