27D2222918 CLIA NUMBER - SUGG PRIMARY CARE CLINIC

Laboratory Demographics

  • CLIA Code: 27D2222918
  • Facility Name: SUGG PRIMARY CARE CLINIC
  • Facility Address: 238 2ND AVENUE SOUTH
    GLASGOW, MT
    ZIP 59230
  • Facility Phone: 406 868-8177
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MS. DAWN R. SUGG
  • NPI Number: 1982286449
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 27D2222918
LAB Type Practitioner Other
Facility Name SUGG PRIMARY CARE CLINIC
Street 238 2ND AVENUE SOUTH
City GLASGOW
State MT
ZIP 59230
Phone 406 868-8177
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2025
Certificate Expiration Date 5/2/2027
Facility Type Practitioner Other
Lab Director MS. DAWN R. SUGG

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