27D2122230 CLIA NUMBER - BADLANDS MEDICAL, INC

Laboratory Demographics

  • CLIA Code: 27D2122230
  • Facility Name: BADLANDS MEDICAL, INC
  • Facility Address: 738 LEAVITT AVE
    JORDAN, MT
    ZIP 59337
  • Facility Phone: 406 557-2499
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIEL A. MUNIAK
  • NPI Number: 1114098837
  • Taxonomy: 363A00000X - Physician Assistant

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 27D2122230
LAB Type Physician Office
Facility Name BADLANDS MEDICAL, INC
Street 738 LEAVITT AVE
City JORDAN
State MT
ZIP 59337
Phone 406 557-2499
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2024
Certificate Expiration Date 11/20/2026
Facility Type Physician Office
Lab Director DANIEL A. MUNIAK

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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