13D1038652 CLIA NUMBER - BOISE DIALYSIS LLC

Laboratory Demographics

CLIA Number: 13D1038652

Facility Name: BOISE DIALYSIS LLC

Facility Address:
3525 E LOUISE DR #100
MERIDIAN, ID
ZIP 83642
Get Directions

Facility Phone Number: (208) 747-0880

Facility Type: END STAGE RENAL DISEASE DIALYSIS

Certificate Type: Waiver

NPI Number: 1639115785

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	13D1038652
LAB Type	END STAGE RENAL DISEASE DIALYSIS
Facility Name	BOISE DIALYSIS LLC
Street	3525 E LOUISE DR #100
City	MERIDIAN
State	ID
ZIP	83642
Phone	(208) 747-0880

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 5/11/2023