13D1041378 CLIA NUMBER - GENE K HODGES MD

Laboratory Demographics

  • CLIA Code: 13D1041378
  • Facility Name: GENE K HODGES MD
  • Facility Address: 2065 E 17TH ST SUITE A
    IDAHO FALLS, ID
    ZIP 83404
  • Facility Phone: 208 522-3301
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GENE K. HODGES
  • NPI Number: 1316055320
  • Taxonomy: 207QA0505X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 13D1041378
LAB Type Physician Office
Facility Name GENE K HODGES MD
Street 2065 E 17TH ST SUITE A
City IDAHO FALLS
State ID
ZIP 83404
Phone 208 522-3301
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/18/2024
Certificate Expiration Date 4/17/2026
Facility Type Physician Office
Lab Director GENE K. HODGES

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