27D2299376 CLIA NUMBER - MONTANA STATE UNIVERSITY

Laboratory Demographics

  • CLIA Code: 27D2299376
  • Facility Name: MONTANA STATE UNIVERSITY
  • Facility Address: 2327 UNIVERSITY WAY, SUITE 230
    BOZEMAN, MT
    ZIP 59715
  • Facility Phone: 406 994-6724
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: ANN P. GALLOWAY
  • NPI Number: 1073653218
  • Taxonomy: 3336C0002X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 27D2299376
LAB Type Prison
Facility Name MONTANA STATE UNIVERSITY
Street 2327 UNIVERSITY WAY, SUITE 230
City BOZEMAN
State MT
ZIP 59715
Phone 406 994-6724
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/20/2024
Certificate Expiration Date 2/19/2026
Facility Type Prison
Lab Director ANN P. GALLOWAY

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