27D2327185 CLIA NUMBER - ORIGIN HEALTH LLC BUTTE

Laboratory Demographics

  • CLIA Code: 27D2327185
  • Facility Name: ORIGIN HEALTH LLC BUTTE
  • Facility Address: 225 S CLARK ST
    BUTTE, MT
    ZIP 59701
  • Facility Phone: 406 523-5650
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MERLIN B. FAUSETT
  • NPI Number: 1104700897
  • Taxonomy: 261QB0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 27D2327185
LAB Type Physician Office
Facility Name ORIGIN HEALTH LLC BUTTE
Street 225 S CLARK ST
City BUTTE
State MT
ZIP 59701
Phone 406 523-5650
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/17/2025
Certificate Expiration Date 7/16/2027
Facility Type Physician Office
Lab Director MERLIN B. FAUSETT

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