27D2229176 CLIA NUMBER - ROSE OSTEOPATHIC CLINIC, INC

Laboratory Demographics

  • CLIA Code: 27D2229176
  • Facility Name: ROSE OSTEOPATHIC CLINIC, INC
  • Facility Address: 54699 HILLSIDE RD
    SAINT IGNATIUS, MT
    ZIP 59865
  • Facility Phone: 406 745-0845
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. DHARMA ROSE
  • NPI Number: 1619447109
  • Taxonomy: 3336S0011X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 27D2229176
LAB Type Community Clinic
Facility Name ROSE OSTEOPATHIC CLINIC, INC
Street 54699 HILLSIDE RD
City SAINT IGNATIUS
State MT
ZIP 59865
Phone 406 745-0845
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2025
Certificate Expiration Date 7/7/2027
Facility Type Community Clinic
Lab Director DR. DHARMA ROSE

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