27D2171424 CLIA NUMBER - HKJ INC - CASA CUATRO

Laboratory Demographics

  • CLIA Code: 27D2171424
  • Facility Name: HKJ INC - CASA CUATRO
  • Facility Address: 4055 LONA COURT
    MISSOULA, MT
    ZIP 59803
  • Facility Phone: 406 541-4673
  • Facility Type: Other - MENTAL HEALTH GR HOME
  • Facility Type: Waiver
  • Lab Director: DONNA K. JENNINGS
  • NPI Number: 1558483206
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 27D2171424
LAB Type Other - MENTAL HEALTH GR HOME
Facility Name HKJ INC - CASA CUATRO
Street 4055 LONA COURT
City MISSOULA
State MT
ZIP 59803
Phone 406 541-4673
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2025
Certificate Expiration Date 8/28/2027
Facility Type Other - MENTAL HEALTH GR HOME
Lab Director DONNA K. JENNINGS

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