27D2316391 CLIA NUMBER - INTERMOUNTAIN HEALTH GALLATIN CLINIC NEUROLOGY

Laboratory Demographics

  • CLIA Code: 27D2316391
  • Facility Name: INTERMOUNTAIN HEALTH GALLATIN CLINIC NEUROLOGY
  • Facility Address: 2825 W MAIN ST STE 1-C
    BOZEMAN, MT
    ZIP 59718
  • Facility Phone: 406 613-7999
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELIZABETH BUISKER
  • NPI Number: 1457486276
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 27D2316391
LAB Type Physician Office
Facility Name INTERMOUNTAIN HEALTH GALLATIN CLINIC NEUROLOGY
Street 2825 W MAIN ST STE 1-C
City BOZEMAN
State MT
ZIP 59718
Phone 406 613-7999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Physician Office
Lab Director ELIZABETH BUISKER

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