13D1056606 CLIA NUMBER - ONEIDA COUNTY CLINIC

Laboratory Demographics

  • CLIA Code: 13D1056606
  • Facility Name: ONEIDA COUNTY CLINIC
  • Facility Address: 220 BANNOCK ST
    MALAD CITY, ID
    ZIP 83252
  • Facility Phone: 208 766-2600
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: JAMES PICKETT
  • NPI Number: 1710041785
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 13D1056606
LAB Type Community Clinic
Facility Name ONEIDA COUNTY CLINIC
Street 220 BANNOCK ST
City MALAD CITY
State ID
ZIP 83252
Phone 208 766-2600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2024
Certificate Expiration Date 7/19/2026
Facility Type Community Clinic
Lab Director JAMES PICKETT

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