27D2328154 CLIA NUMBER - LOGAN HEALTH WHITEFISH SPECIALTY CLINIC

Laboratory Demographics

  • CLIA Code: 27D2328154
  • Facility Name: LOGAN HEALTH WHITEFISH SPECIALTY CLINIC
  • Facility Address: 2000 HOSPITAL WAY
    WHITEFISH, MT
    ZIP 59937
  • Facility Phone: 406 862-5575
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: COURTNEY STOUT PETERSON
  • NPI Number: 1891189585
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 27D2328154
LAB Type Physician Office
Facility Name LOGAN HEALTH WHITEFISH SPECIALTY CLINIC
Street 2000 HOSPITAL WAY
City WHITEFISH
State MT
ZIP 59937
Phone 406 862-5575
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 Physician Office
Lab Director COURTNEY STOUT PETERSON

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