13D1040326 CLIA NUMBER - TREASURE VALLEY DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 13D1040326
  • Facility Name: TREASURE VALLEY DIALYSIS CENTER
  • Facility Address: 3045 E ST LUKES ST STE 105
    MERIDIAN, ID
    ZIP 83642
  • Facility Phone: 208 877-2174
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: THOMAS PINTAR
  • NPI Number: 1336251073
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 13D1040326
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name TREASURE VALLEY DIALYSIS CENTER
Street 3045 E ST LUKES ST STE 105
City MERIDIAN
State ID
ZIP 83642
Phone 208 877-2174
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2025
Certificate Expiration Date 5/4/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director THOMAS PINTAR

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