27D2213797 CLIA NUMBER - WEST BOZEMAN SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 27D2213797
  • Facility Name: WEST BOZEMAN SURGERY CENTER, LLC
  • Facility Address: 875 S COTTONWOOD RD, STE 100
    BOZEMAN, MT
    ZIP 59718
  • Facility Phone: 307 250-9854
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DODSON BRENNAN
  • NPI Number: 1285251132
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 27D2213797
LAB Type Ambulatory Surgery Center
Facility Name WEST BOZEMAN SURGERY CENTER, LLC
Street 875 S COTTONWOOD RD, STE 100
City BOZEMAN
State MT
ZIP 59718
Phone 307 250-9854
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/17/2025
Certificate Expiration Date 2/16/2027
Facility Type Ambulatory Surgery Center
Lab Director DODSON BRENNAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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