13D0981243 CLIA NUMBER - JOSEPH W IPPOLITO MD

Laboratory Demographics

  • CLIA Code: 13D0981243
  • Facility Name: JOSEPH W IPPOLITO MD
  • Facility Address: 526 SHOUP AVE W #F
    TWIN FALLS, ID
    ZIP 83301
  • Facility Phone: 208 736-7620
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH W. IPPOLITO
  • NPI Number: 1306862792
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 13D0981243
LAB Type Physician Office
Facility Name JOSEPH W IPPOLITO MD
Street 526 SHOUP AVE W #F
City TWIN FALLS
State ID
ZIP 83301
Phone 208 736-7620
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Physician Office
Lab Director JOSEPH W. IPPOLITO

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