27D2196527 CLIA NUMBER - PETER SIKOSKI, DO, PLLC

Laboratory Demographics

  • CLIA Code: 27D2196527
  • Facility Name: PETER SIKOSKI, DO, PLLC
  • Facility Address: 1104 E MAIN ST UNIT 1
    BOZEMAN, MT
    ZIP 59715
  • Facility Phone: 406 587-3788
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. PETER J. SIKOSKI
  • NPI Number: 1437143153
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 27D2196527
LAB Type Physician Office
Facility Name PETER SIKOSKI, DO, PLLC
Street 1104 E MAIN ST UNIT 1
City BOZEMAN
State MT
ZIP 59715
Phone 406 587-3788
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2024
Certificate Expiration Date 10/18/2026
Facility Type Physician Office
Lab Director DR. PETER J. SIKOSKI

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This page was last updated on: 3/20/2025