27D2252786 CLIA NUMBER - FORT PECK SERVICE UNIT

Laboratory Demographics

  • CLIA Code: 27D2252786
  • Facility Name: FORT PECK SERVICE UNIT
  • Facility Address: 107 H. STREET
    POPLAR, MT
    ZIP 59255
  • Facility Phone: 406 768-3491
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: RICHARD DONLICK
  • NPI Number: 1609020080
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 27D2252786
LAB Type Rural Health Clinic
Facility Name FORT PECK SERVICE UNIT
Street 107 H. STREET
City POPLAR
State MT
ZIP 59255
Phone 406 768-3491
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/15/2024
Certificate Expiration Date 2/14/2026
Facility Type Rural Health Clinic
Lab Director RICHARD DONLICK

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