27D2256933 CLIA NUMBER - MOUNTAIN KIDS PEDIATRICS

Laboratory Demographics

  • CLIA Code: 27D2256933
  • Facility Name: MOUNTAIN KIDS PEDIATRICS
  • Facility Address: 2825 FORT MISSOULA RD SUITE 201
    MISSOULA, MT
    ZIP 59804
  • Facility Phone: 406 721-5566
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. WILLIAM C. HASTINGS
  • NPI Number: 1982354908
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 27D2256933
LAB Type Physician Office
Facility Name MOUNTAIN KIDS PEDIATRICS
Street 2825 FORT MISSOULA RD SUITE 201
City MISSOULA
State MT
ZIP 59804
Phone 406 721-5566
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2024
Certificate Expiration Date 3/29/2026
Facility Type Physician Office
Lab Director DR. WILLIAM C. HASTINGS

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