13D1014072 CLIA NUMBER - TWIN FALLS CBOC

Laboratory Demographics

CLIA Number: 13D1014072

Facility Name: TWIN FALLS CBOC

Facility Address:
260 2ND AVE EAST
TWIN FALLS, ID
ZIP 83301
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Facility Phone Number: 208 732-0947

Facility Type: Community Clinic

Certificate Type: Accreditation

NPI Number: 1720520505

Taxonomy: 1223G0001X - Dentist
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

CLIA Record

Field Name	Field Value
CLIA Number	13D1014072
LAB Type	Community Clinic
Facility Name	TWIN FALLS CBOC
Street	260 2ND AVE EAST
City	TWIN FALLS
State	ID
ZIP	83301
Phone	208 732-0947
CertificateType	1
CertificateEffectiveDate	6/25/2003
CertificateExpirationDate	5/22/2026
FacilityType	Accreditation

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This page was last updated on: 4/23/2024