13D0910691 CLIA NUMBER - PRIMARY HEALTH MEDICAL GROUP - CALDWELL

Laboratory Demographics

  • CLIA Code: 13D0910691
  • Facility Name: PRIMARY HEALTH MEDICAL GROUP - CALDWELL
  • Facility Address: 4815 CLEVELAND BLVD
    CALDWELL, ID
    ZIP 83605
  • Facility Phone: (208) 455-3545
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CODY ROGERS

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CLIA Record

Field Name Field Value
CLIA Number 13D0910691
LAB Type Physician Office
Facility Name PRIMARY HEALTH MEDICAL GROUP - CALDWELL
Street 4815 CLEVELAND BLVD
City CALDWELL
State ID
ZIP 83605
Phone 2084553545
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 9/9/2025
Certificate Expiration Date 9/8/2027
Facility Type Physician Office
Lab Director CODY ROGERS

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This page was last updated on: 9/8/2026