27D2186850 CLIA NUMBER - BIG SANDY PHARMACY

Laboratory Demographics

  • CLIA Code: 27D2186850
  • Facility Name: BIG SANDY PHARMACY
  • Facility Address: 158 JOHANNES AVE
    BIG SANDY, MT
    ZIP 59520
  • Facility Phone: 406 378-5588
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANIELLE M. WEAVER
  • NPI Number: 1790002566
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 27D2186850
LAB Type Pharmacy
Facility Name BIG SANDY PHARMACY
Street 158 JOHANNES AVE
City BIG SANDY
State MT
ZIP 59520
Phone 406 378-5588
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/23/2024
Certificate Expiration Date 6/22/2026
Facility Type Pharmacy
Lab Director DANIELLE M. WEAVER

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