13D0521701 CLIA NUMBER - ADA PEDIATRICS PA

Laboratory Demographics

  • CLIA Code: 13D0521701
  • Facility Name: ADA PEDIATRICS PA
  • Facility Address: 650 N COLE RD
    BOISE, ID
    ZIP 83704
  • Facility Phone: 208 323-1222
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT E. LINDSAY
  • NPI Number: 1609805779
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 13D0521701
LAB Type Physician Office
Facility Name ADA PEDIATRICS PA
Street 650 N COLE RD
City BOISE
State ID
ZIP 83704
Phone 208 323-1222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2024
Certificate Expiration Date 5/31/2026
Facility Type Physician Office
Lab Director ROBERT E. LINDSAY

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