27D2136005 CLIA NUMBER - NORTHERN CHEYENNE TRIBAL HEALTH

Laboratory Demographics

  • CLIA Code: 27D2136005
  • Facility Name: NORTHERN CHEYENNE TRIBAL HEALTH
  • Facility Address: 420 N CHEYENNE AVENUE
    LAME DEER, MT
    ZIP 59043
  • Facility Phone: 406 477-4505
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: GINA LITTLEWOLF MILLEGAN
  • NPI Number: 1568716090
  • Taxonomy: 261QF0400X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 27D2136005
LAB Type Community Clinic
Facility Name NORTHERN CHEYENNE TRIBAL HEALTH
Street 420 N CHEYENNE AVENUE
City LAME DEER
State MT
ZIP 59043
Phone 406 477-4505
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/31/2025
Certificate Expiration Date 8/30/2027
Facility Type Community Clinic
Lab Director GINA LITTLEWOLF MILLEGAN

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