27D2292884 CLIA NUMBER - WOLVES DEN PHARMACY

Laboratory Demographics

  • CLIA Code: 27D2292884
  • Facility Name: WOLVES DEN PHARMACY
  • Facility Address: 99 CENTRAL AVE STANFORD
    STANFORD, MT
    ZIP 59479
  • Facility Phone: 406 378-5588
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANIELLE M. WEAVER
  • NPI Number: 1750089686
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 27D2292884
LAB Type Pharmacy
Facility Name WOLVES DEN PHARMACY
Street 99 CENTRAL AVE STANFORD
City STANFORD
State MT
ZIP 59479
Phone 406 378-5588
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2023
Certificate Expiration Date 10/30/2025
Facility Type Pharmacy
Lab Director DANIELLE M. WEAVER

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