13D0879796 CLIA NUMBER - FAMILY HEALTH SERVICES

Laboratory Demographics

CLIA Number: 13D0879796

Facility Name: FAMILY HEALTH SERVICES

Facility Address:
388 MARTIN ST
TWIN FALLS, ID
ZIP 83301
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Facility Phone Number: 208 734-0451

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1669449450

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	13D0879796
LAB Type	Federally Qualified Health Center
Facility Name	FAMILY HEALTH SERVICES
Street	388 MARTIN ST
City	TWIN FALLS
State	ID
ZIP	83301
Phone	208 734-0451
CertificateType	4
CertificateEffectiveDate	10/22/2023
CertificateExpirationDate	10/21/2025
FacilityType	Waiver

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