27D2227809 CLIA NUMBER - POWDER RIVER COUNTY EMS

Laboratory Demographics

  • CLIA Code: 27D2227809
  • Facility Name: POWDER RIVER COUNTY EMS
  • Facility Address: 119 N PARK
    BROADUS, MT
    ZIP 59317
  • Facility Phone: 406 436-2361
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: ADAM JOHNSON
  • NPI Number: 1104495720
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 27D2227809
LAB Type Ambulance
Facility Name POWDER RIVER COUNTY EMS
Street 119 N PARK
City BROADUS
State MT
ZIP 59317
Phone 406 436-2361
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2025
Certificate Expiration Date 6/16/2027
Facility Type Ambulance
Lab Director ADAM JOHNSON

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