27D2225290 CLIA NUMBER - COPPER CITY SURGERY CENTER, PLLC

Laboratory Demographics

  • CLIA Code: 27D2225290
  • Facility Name: COPPER CITY SURGERY CENTER, PLLC
  • Facility Address: 2760 ELIZABETH WARREN AVE
    BUTTE, MT
    ZIP 59701
  • Facility Phone: 406 221-2419
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MEGHAN M. BOYLE
  • NPI Number: 1780112862
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 27D2225290
LAB Type Ambulatory Surgery Center
Facility Name COPPER CITY SURGERY CENTER, PLLC
Street 2760 ELIZABETH WARREN AVE
City BUTTE
State MT
ZIP 59701
Phone 406 221-2419
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2025
Certificate Expiration Date 5/19/2027
Facility Type Ambulatory Surgery Center
Lab Director MEGHAN M. BOYLE

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