27D2272248 CLIA NUMBER - MOUNTAIN INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 27D2272248
  • Facility Name: MOUNTAIN INTERNAL MEDICINE
  • Facility Address: 323 EAST FRONT STREET
    MISSOULA, MT
    ZIP 59802
  • Facility Phone: 406 317-4800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARNIE DESCHAMPS
  • NPI Number: 1720686736
  • Taxonomy: 171100000X - Acupuncturist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 27D2272248
LAB Type Physician Office
Facility Name MOUNTAIN INTERNAL MEDICINE
Street 323 EAST FRONT STREET
City MISSOULA
State MT
ZIP 59802
Phone 406 317-4800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2024
Certificate Expiration Date 11/15/2026
Facility Type Physician Office
Lab Director MARNIE DESCHAMPS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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