27D2328079 CLIA NUMBER - LOLO DRUG

Laboratory Demographics

  • CLIA Code: 27D2328079
  • Facility Name: LOLO DRUG
  • Facility Address: 103 GLACIER DR
    LOLO, MT
    ZIP 59847
  • Facility Phone: 406 273-2322
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: COREY R. HEFFERNAN
  • NPI Number: 1528073152
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 27D2328079
LAB Type Pharmacy
Facility Name LOLO DRUG
Street 103 GLACIER DR
City LOLO
State MT
ZIP 59847
Phone 406 273-2322
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/5/2025
Certificate Expiration Date 8/4/2027
Facility Type Pharmacy
Lab Director COREY R. HEFFERNAN

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