27D2264294 CLIA NUMBER - LAVERDURE PSYCHIATRY PLLC

Laboratory Demographics

  • CLIA Code: 27D2264294
  • Facility Name: LAVERDURE PSYCHIATRY PLLC
  • Facility Address: 311 3RD ST
    HAVRE, MT
    ZIP 59501
  • Facility Phone: 406 945-9019
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNIFER A. DURWARD
  • NPI Number: 1740807502
  • Taxonomy: 363LP0808X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 27D2264294
LAB Type Physician Office
Facility Name LAVERDURE PSYCHIATRY PLLC
Street 311 3RD ST
City HAVRE
State MT
ZIP 59501
Phone 406 945-9019
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2024
Certificate Expiration Date 7/11/2026
Facility Type Physician Office
Lab Director JENNIFER A. DURWARD

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