27D2205373 CLIA NUMBER - MATOVICH ENTERPRISES, INC DBA STILLWATER FAMILY PHARMACY

Laboratory Demographics

  • CLIA Code: 27D2205373
  • Facility Name: MATOVICH ENTERPRISES, INC DBA STILLWATER FAMILY PHARMACY
  • Facility Address: 133 N 5TH ST
    COLUMBUS, MT
    ZIP 59019
  • Facility Phone: (406) 322-5652
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL R. MATOVICH
  • NPI Number: 1750439709
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 27D2205373
LAB Type Pharmacy
Facility Name MATOVICH ENTERPRISES, INC DBA STILLWATER FAMILY PHARMACY
Street 133 N 5TH ST
City COLUMBUS
State MT
ZIP 59019
Phone 4063225652
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type Pharmacy
Lab Director MICHAEL R. MATOVICH

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