27D2267451 CLIA NUMBER - ANACONDA INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 27D2267451
  • Facility Name: ANACONDA INTERNAL MEDICINE
  • Facility Address: 1102 EAST COMMERCIAL AVE
    ANACONDA, MT
    ZIP 59711
  • Facility Phone: 406 563-8689
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. EMILY G. OWEN
  • NPI Number: 1811064397
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 27D2267451
LAB Type Physician Office
Facility Name ANACONDA INTERNAL MEDICINE
Street 1102 EAST COMMERCIAL AVE
City ANACONDA
State MT
ZIP 59711
Phone 406 563-8689
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2024
Certificate Expiration Date 8/24/2026
Facility Type Physician Office
Lab Director DR. EMILY G. OWEN

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