27D2301924 CLIA NUMBER - ELKHORN PHARMACY

Laboratory Demographics

  • CLIA Code: 27D2301924
  • Facility Name: ELKHORN PHARMACY
  • Facility Address: 215 N MAIN ST
    BOULDER, MT
    ZIP 59632
  • Facility Phone: 406 225-3240
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CLIFFORD JOSH MORRIS
  • NPI Number: 1265676100
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 27D2301924
LAB Type Pharmacy
Facility Name ELKHORN PHARMACY
Street 215 N MAIN ST
City BOULDER
State MT
ZIP 59632
Phone 406 225-3240
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2024
Certificate Expiration Date 4/2/2026
Facility Type Pharmacy
Lab Director CLIFFORD JOSH MORRIS

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