13D0970670 CLIA NUMBER - ASSOCIATES IN FAMILY PRACTICE PA

Laboratory Demographics

  • CLIA Code: 13D0970670
  • Facility Name: ASSOCIATES IN FAMILY PRACTICE PA
  • Facility Address: 640 FROG'S LANDING
    HAGERMAN, ID
    ZIP 83332
  • Facility Phone: 208 837-6161
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: F J. GIES
  • NPI Number: 1881659357
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 13D0970670
LAB Type Community Clinic
Facility Name ASSOCIATES IN FAMILY PRACTICE PA
Street 640 FROG'S LANDING
City HAGERMAN
State ID
ZIP 83332
Phone 208 837-6161
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2024
Certificate Expiration Date 8/7/2026
Facility Type Community Clinic
Lab Director F J. GIES

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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