13D0520576 CLIA NUMBER - ST LUKE'S MAGIC VALLEY - MAIN CAMPUS

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Laboratory Demographics

CLIA Number: 13D0520576

Facility Name: ST LUKE'S MAGIC VALLEY - MAIN CAMPUS

Facility Address:
801 POLE LINE RD W
TWIN FALLS, ID
ZIP 83301
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Facility Phone Number: 208 814-1000

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1407283443

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	13D0520576
LAB Type	Hospital
Facility Name	ST LUKE'S MAGIC VALLEY - MAIN CAMPUS
Street	801 POLE LINE RD W
City	TWIN FALLS
State	ID
ZIP	83301
Phone	208 814-1000
CertificateType	1
CertificateEffectiveDate	1/3/2023
CertificateExpirationDate	1/2/2025
FacilityType	Accreditation

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This page was last updated on: 4/23/2024