27D2265443 CLIA NUMBER - PEARLMED DPC, PLLC

Laboratory Demographics

  • CLIA Code: 27D2265443
  • Facility Name: PEARLMED DPC, PLLC
  • Facility Address: 2795 ENTERPRISE AVE, SUITE 5
    HESPER, MT
    ZIP 59102
  • Facility Phone: 406 702-1111
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: WAGENAAR S. ROBERT
  • NPI Number: 1649025388
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 27D2265443
LAB Type Physician Office
Facility Name PEARLMED DPC, PLLC
Street 2795 ENTERPRISE AVE, SUITE 5
City HESPER
State MT
ZIP 59102
Phone 406 702-1111
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/27/2024
Certificate Expiration Date 7/26/2026
Facility Type Physician Office
Lab Director WAGENAAR S. ROBERT

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