27D2155356 CLIA NUMBER - HEAVENS PEAK HEALTHCARE

Laboratory Demographics

  • CLIA Code: 27D2155356
  • Facility Name: HEAVENS PEAK HEALTHCARE
  • Facility Address: 1035 9TH STREET WEST
    COLUMBIA FALLS, MT
    ZIP 59912
  • Facility Phone: 406 250-8717
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: LAURA C. HALL
  • NPI Number: 1952881138
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 27D2155356
LAB Type Practitioner Other
Facility Name HEAVENS PEAK HEALTHCARE
Street 1035 9TH STREET WEST
City COLUMBIA FALLS
State MT
ZIP 59912
Phone 406 250-8717
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2024
Certificate Expiration Date 9/26/2026
Facility Type Practitioner Other
Lab Director LAURA C. HALL

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This page was last updated on: 6/4/2025