27D2217208 CLIA NUMBER - MONTANA CVS PHARMACY, LLC - 05301 CVS/ PHARMACY

Laboratory Demographics

  • CLIA Code: 27D2217208
  • Facility Name: MONTANA CVS PHARMACY, LLC - 05301 CVS/ PHARMACY
  • Facility Address: 1311 GRAND AVE.
    BILLINGS, MT
    ZIP 59102
  • Facility Phone: 401 770-6431
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TRACEY HALLAND
  • NPI Number: 1689696387
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 27D2217208
LAB Type Pharmacy
Facility Name MONTANA CVS PHARMACY, LLC - 05301 CVS/ PHARMACY
Street 1311 GRAND AVE.
City BILLINGS
State MT
ZIP 59102
Phone 401 770-6431
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2025
Certificate Expiration Date 3/17/2027
Facility Type Pharmacy
Lab Director TRACEY HALLAND

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