27D2267160 CLIA NUMBER - GLACIER SURGICAL INC

Laboratory Demographics

  • CLIA Code: 27D2267160
  • Facility Name: GLACIER SURGICAL INC
  • Facility Address: 155 TIMBERWOLF PKWY
    KALISPELL, MT
    ZIP 59901
  • Facility Phone: (417) 889-2040
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. TYLER OFSTAD
  • NPI Number: 1750036174
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 27D2267160
LAB Type Ambulatory Surgery Center
Facility Name GLACIER SURGICAL INC
Street 155 TIMBERWOLF PKWY
City KALISPELL
State MT
ZIP 59901
Phone 4178892040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2024
Certificate Expiration Date 8/21/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. TYLER OFSTAD

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This page was last updated on: 5/18/2026