13D0936397 CLIA NUMBER - TWIN FALLS DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 13D0936397
  • Facility Name: TWIN FALLS DIALYSIS CENTER
  • Facility Address: 582 POLE LINE RD
    TWIN FALLS, ID
    ZIP 83301
  • Facility Phone: 208 733-2006
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MICHELLE MEYERS
  • NPI Number: 1932150653
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 13D0936397
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name TWIN FALLS DIALYSIS CENTER
Street 582 POLE LINE RD
City TWIN FALLS
State ID
ZIP 83301
Phone 208 733-2006
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2023
Certificate Expiration Date 11/19/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MICHELLE MEYERS

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