27D2310632 CLIA NUMBER - HEADWATERS ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 27D2310632
  • Facility Name: HEADWATERS ASSISTED LIVING
  • Facility Address: 304 WILSON BUTTE RD
    GREAT FALLS, MT
    ZIP 59405
  • Facility Phone: 406 788-1467
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: BRANDON J. FRANKLIN
  • NPI Number: 1619683984
  • Taxonomy: 310400000X - Assisted Living Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 27D2310632
LAB Type Assisted Living Facility
Facility Name HEADWATERS ASSISTED LIVING
Street 304 WILSON BUTTE RD
City GREAT FALLS
State MT
ZIP 59405
Phone 406 788-1467
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2024
Certificate Expiration Date 9/5/2026
Facility Type Assisted Living Facility
Lab Director BRANDON J. FRANKLIN

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