27D2238991 CLIA NUMBER - VITALOGY EMS LLC

Laboratory Demographics

  • CLIA Code: 27D2238991
  • Facility Name: VITALOGY EMS LLC
  • Facility Address: 724 SHADOWN LD
    KALISPELL, MT
    ZIP 59901
  • Facility Phone: 406 270-6955
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: BRODIE VERWORN
  • NPI Number: 1164190567
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 27D2238991
LAB Type Ambulance
Facility Name VITALOGY EMS LLC
Street 724 SHADOWN LD
City KALISPELL
State MT
ZIP 59901
Phone 406 270-6955
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2023
Certificate Expiration Date 10/6/2025
Facility Type Ambulance
Lab Director BRODIE VERWORN

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