13D0895832 CLIA NUMBER - FAMILY MEDICINE HEALTH CENTER - KUNA

Laboratory Demographics

  • CLIA Code: 13D0895832
  • Facility Name: FAMILY MEDICINE HEALTH CENTER - KUNA
  • Facility Address: 708 E WYTHE CREEK CT #103
    KUNA, ID
    ZIP 83634
  • Facility Phone: 208 922-5130
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DARREL PORR
  • NPI Number: 1841490075
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 13D0895832
LAB Type Community Clinic
Facility Name FAMILY MEDICINE HEALTH CENTER - KUNA
Street 708 E WYTHE CREEK CT #103
City KUNA
State ID
ZIP 83634
Phone 208 922-5130
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2025
Certificate Expiration Date 10/8/2027
Facility Type Community Clinic
Lab Director DARREL PORR

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