27D2110538 CLIA NUMBER - COMMUNITY MEDICAL SERVICES

Laboratory Demographics

CLIA Number: 27D2110538

Facility Name: COMMUNITY MEDICAL SERVICES

Facility Address:
795 SUNSET BLVD, SUITE F
KALISPELL, MT
ZIP 59901
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Facility Phone Number: 406 549-0114

Facility Type: Other - OUTPATIENT TREATMENT PROG

Certificate Type: Waiver

NPI Number: 1023484615

Taxonomy: 261QM2800X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

CLIA Record

Field Name	Field Value
CLIA Number	27D2110538
LAB Type	Other - OUTPATIENT TREATMENT PROG
Facility Name	COMMUNITY MEDICAL SERVICES
Street	795 SUNSET BLVD, SUITE F
City	KALISPELL
State	MT
ZIP	59901
Phone	406 549-0114
CertificateType	4
CertificateEffectiveDate	3/16/2024
CertificateExpirationDate	3/15/2026
FacilityType	Waiver

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