27D2227083 CLIA NUMBER - MONTANA ENDOSCOPY CENTER PLLC

Laboratory Demographics

  • CLIA Code: 27D2227083
  • Facility Name: MONTANA ENDOSCOPY CENTER PLLC
  • Facility Address: 1930 BROADWAY SUITE B
    MISSOULA, MT
    ZIP 59808
  • Facility Phone: (406) 404-6061
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. KEVIN M. KOLENDICH
  • NPI Number: 1154945921
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 27D2227083
LAB Type Ambulatory Surgery Center
Facility Name MONTANA ENDOSCOPY CENTER PLLC
Street 1930 BROADWAY SUITE B
City MISSOULA
State MT
ZIP 59808
Phone 4064046061
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2025
Certificate Expiration Date 6/7/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. KEVIN M. KOLENDICH

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This page was last updated on: 6/29/2026