27D2156844 CLIA NUMBER - MINING CITY LAB SERVICES

Laboratory Demographics

  • CLIA Code: 27D2156844
  • Facility Name: MINING CITY LAB SERVICES
  • Facility Address: 87 DOUBLE L LANE
    MANHATTAN, MT
    ZIP 59741
  • Facility Phone: 406 594-2824
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: AMANDA LOGTERMAN
  • NPI Number: 1841851466
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 27D2156844
LAB Type Independent
Facility Name MINING CITY LAB SERVICES
Street 87 DOUBLE L LANE
City MANHATTAN
State MT
ZIP 59741
Phone 406 594-2824
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2024
Certificate Expiration Date 10/24/2026
Facility Type Independent
Lab Director AMANDA LOGTERMAN

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