13D1039565 CLIA NUMBER - LIFE STAGES OB/GYN AND FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 13D1039565
  • Facility Name: LIFE STAGES OB/GYN AND FAMILY PRACTICE
  • Facility Address: 3908 E FLAMINGO AVE
    NAMPA, ID
    ZIP 83687
  • Facility Phone: (208) 442-8035
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DUSTAN HUGHES

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CLIA Record

Field Name Field Value
CLIA Number 13D1039565
LAB Type Physician Office
Facility Name LIFE STAGES OB/GYN AND FAMILY PRACTICE
Street 3908 E FLAMINGO AVE
City NAMPA
State ID
ZIP 83687
Phone 2084428035
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/18/2025
Certificate Expiration Date 4/17/2027
Facility Type Physician Office
Lab Director DUSTAN HUGHES

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This page was last updated on: 5/18/2026