13D0704228 CLIA NUMBER - HEALTH WEST ABERDEEN COMMUNITY HEALTH CENTER

Laboratory Demographics

CLIA Number: 13D0704228

Facility Name: HEALTH WEST ABERDEEN COMMUNITY HEALTH CENTER

Facility Address:
330 N MAIN ST
ABERDEEN, ID
ZIP 83210
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Facility Phone Number: 208 397-4126

Facility Type: Federally Qualified Health Center

Certificate Type: Microscopy

NPI Number: 1295734796

Taxonomy: 261QF0400X - Clinic/Center

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
CertificateType	3
CertificateEffectiveDate	4/4/2023
CertificateExpirationDate	4/3/2025
FacilityType	PPMP

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