27D2168502 CLIA NUMBER - MISSOULA BONE & JOINT, LLC

Laboratory Demographics

  • CLIA Code: 27D2168502
  • Facility Name: MISSOULA BONE & JOINT, LLC
  • Facility Address: 2360 MULLAN RD STE C
    MISSOULA, MT
    ZIP 59808
  • Facility Phone: 406 721-4436
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAMI SPENCER
  • NPI Number: 1639126303
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 27D2168502
LAB Type Physician Office
Facility Name MISSOULA BONE & JOINT, LLC
Street 2360 MULLAN RD STE C
City MISSOULA
State MT
ZIP 59808
Phone 406 721-4436
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/2/2025
Certificate Expiration Date 7/1/2027
Facility Type Physician Office
Lab Director SAMI SPENCER

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