27D2263304 CLIA NUMBER - MT FAMILY RX INC DBA FAMILY PHARMACY

Laboratory Demographics

  • CLIA Code: 27D2263304
  • Facility Name: MT FAMILY RX INC DBA FAMILY PHARMACY
  • Facility Address: 3804 EASTSIDE HWY
    STEVENSVILLE, MT
    ZIP 59870
  • Facility Phone: 406 777-5002
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LEVI D. SHYPKOWSKI
  • NPI Number: 1629724596
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 27D2263304
LAB Type Pharmacy
Facility Name MT FAMILY RX INC DBA FAMILY PHARMACY
Street 3804 EASTSIDE HWY
City STEVENSVILLE
State MT
ZIP 59870
Phone 406 777-5002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2024
Certificate Expiration Date 6/26/2026
Facility Type Pharmacy
Lab Director LEVI D. SHYPKOWSKI

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