27D2118479 CLIA NUMBER - J RANDALL RAUH MD, INC

Laboratory Demographics

  • CLIA Code: 27D2118479
  • Facility Name: J RANDALL RAUH MD, INC
  • Facility Address: 330 ROGER LANE SUITE 4
    MILES CITY, MT
    ZIP 59301
  • Facility Phone: 406 234-7660
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. J RANDALL RAUH
  • NPI Number: 1811390198
  • Taxonomy: 207VX0000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 27D2118479
LAB Type Physician Office
Facility Name J RANDALL RAUH MD, INC
Street 330 ROGER LANE SUITE 4
City MILES CITY
State MT
ZIP 59301
Phone 406 234-7660
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2024
Certificate Expiration Date 9/7/2026
Facility Type Physician Office
Lab Director DR. J RANDALL RAUH

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