13D1042537 CLIA NUMBER - OMEGA HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 13D1042537
  • Facility Name: OMEGA HEALTH SERVICES
  • Facility Address: 5985 W STATE ST
    BOISE, ID
    ZIP 83703
  • Facility Phone: 208 853-0071
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KRISTINA HARRINGTON
  • NPI Number: 1922125764
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 13D1042537
LAB Type Physician Office
Facility Name OMEGA HEALTH SERVICES
Street 5985 W STATE ST
City BOISE
State ID
ZIP 83703
Phone 208 853-0071
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2025
Certificate Expiration Date 1/21/2027
Facility Type Physician Office
Lab Director KRISTINA HARRINGTON

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