13D0934339 CLIA NUMBER - POCATELLO WOMENS HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 13D0934339
  • Facility Name: POCATELLO WOMENS HEALTH CLINIC
  • Facility Address: 777 HOSPITAL WAY #300
    POCATELLO, ID
    ZIP 83201
  • Facility Phone: 208 232-6100
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KIM L. COX
  • NPI Number: 1477501930
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 13D0934339
LAB Type Physician Office
Facility Name POCATELLO WOMENS HEALTH CLINIC
Street 777 HOSPITAL WAY #300
City POCATELLO
State ID
ZIP 83201
Phone 208 232-6100
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 10/3/2025
Certificate Expiration Date 10/2/2027
Facility Type Physician Office
Lab Director KIM L. COX

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