27D2322241 CLIA NUMBER - CLARK FORK HEALTHCARE LLC DBA BIG SKY HOSPICE

Laboratory Demographics

  • CLIA Code: 27D2322241
  • Facility Name: CLARK FORK HEALTHCARE LLC DBA BIG SKY HOSPICE
  • Facility Address: 205 HAGGERTY LN. STE. 260
    BOZEMAN, MT
    ZIP 59715
  • Facility Phone: 406 551-2273
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: LENA ZAESKE
  • NPI Number: 1518615665
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 27D2322241
LAB Type Hospice
Facility Name CLARK FORK HEALTHCARE LLC DBA BIG SKY HOSPICE
Street 205 HAGGERTY LN. STE. 260
City BOZEMAN
State MT
ZIP 59715
Phone 406 551-2273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2025
Certificate Expiration Date 4/16/2027
Facility Type Hospice
Lab Director LENA ZAESKE

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