27D2219706 CLIA NUMBER - WALGREENS #16084

Laboratory Demographics

  • CLIA Code: 27D2219706
  • Facility Name: WALGREENS #16084
  • Facility Address: 40770 MT HIGHWAY 35
    POLSON, MT
    ZIP 59860
  • Facility Phone: 406 300-6042
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KARI E. JACKSON
  • NPI Number: 1952789604
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 27D2219706
LAB Type Pharmacy
Facility Name WALGREENS #16084
Street 40770 MT HIGHWAY 35
City POLSON
State MT
ZIP 59860
Phone 406 300-6042
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2025
Certificate Expiration Date 4/6/2027
Facility Type Pharmacy
Lab Director KARI E. JACKSON

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