13D0704228 CLIA NUMBER - HEALTH WEST ABERDEEN COMMUNITY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 13D0704228
  • Facility Name: HEALTH WEST ABERDEEN COMMUNITY HEALTH CENTER
  • Facility Address: 330 N MAIN ST
    ABERDEEN, ID
    ZIP 83210
  • Facility Phone: 208 397-4126
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: MARK T. HORROCKS
  • NPI Number: 1295734796
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 13D0704228
LAB Type Federally Qualified Health Center
Facility Name HEALTH WEST ABERDEEN COMMUNITY HEALTH CENTER
Street 330 N MAIN ST
City ABERDEEN
State ID
ZIP 83210
Phone 208 397-4126
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/4/2025
Certificate Expiration Date 4/3/2027
Facility Type Federally Qualified Health Center
Lab Director MARK T. HORROCKS

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