27D2158703 CLIA NUMBER - ALLERGY & ASTHMA CENTER PC

Laboratory Demographics

  • CLIA Code: 27D2158703
  • Facility Name: ALLERGY & ASTHMA CENTER PC
  • Facility Address: 95 INDIAN TRAIL RD
    KALISPELL, MT
    ZIP 59901
  • Facility Phone: (406) 300-4882
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID E. MANGOLD
  • NPI Number: 1750453163
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 27D2158703
LAB Type Physician Office
Facility Name ALLERGY & ASTHMA CENTER PC
Street 95 INDIAN TRAIL RD
City KALISPELL
State MT
ZIP 59901
Phone 4063004882
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2024
Certificate Expiration Date 12/3/2026
Facility Type Physician Office
Lab Director DAVID E. MANGOLD

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This page was last updated on: 5/18/2026