Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
27D2210515
|
|
Clinical laboratory number
|
|
Lab Name
|
WIBAUX CLINIC
|
|
Laboratory Name
|
|
Lab Type
|
Rural Health Clinic
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
406-345-8960
|
|
Laboratory telephone number
|
|
Fax
|
406-345-8912
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
710 DRAKE STREET
|
|
Primary location adress line
|
|
City
|
WIBAUX
|
|
Primary location city name
|
|
State
|
MT
|
|
Primary location state name
|
|
Zip
|
59353
|
|
Primary location postal code
|