CLIA lab
CLIA 27D0409780: Mondak Family Clinic
Fairview, MT. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 27D0409780 belongs to Mondak Family Clinic in Fairview, MT.
Certificate for Provider-Performed Microscopy Procedures, effective August 10, 2025, expires August 9, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate for Provider-Performed Microscopy Procedures
- Certificate effective
- August 10, 2025
- Certificate expiration
- August 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Physician office
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 27D0409780
- Lab name
- Mondak Family Clinic
- Address
- 304 South Ellery Avenue, Fairview, MT 59221
- Phone
- (406) 742-5262
- Fax
- (406) 742-5263
Affiliated CLIA numbers
Related
Questions
What is the CLIA number for Mondak Family Clinic in Fairview?
27D0409780, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mondak Family Clinic hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 27D0409780 expire?
The CMS file lists August 9, 2027 as the certificate expiration date; the certificate took effect August 10, 2025.