13D0520973 CLIA NUMBER - ASHTON MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 13D0520973
  • Facility Name: ASHTON MEDICAL CLINIC
  • Facility Address: 23 S 8TH ST
    ASHTON, ID
    ZIP 83420
  • Facility Phone: (208) 652-3396
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TINA SCOGGINS
  • NPI Number: 1598935652
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 13D0520973
LAB Type Physician Office
Facility Name ASHTON MEDICAL CLINIC
Street 23 S 8TH ST
City ASHTON
State ID
ZIP 83420
Phone 2086523396
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/19/2025
Certificate Expiration Date 3/18/2027
Facility Type Physician Office
Lab Director TINA SCOGGINS

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This page was last updated on: 5/18/2026