13D1078169 CLIA NUMBER - NAMPA FAMILY JUSTICE CENTER

Laboratory Demographics

CLIA Number: 13D1078169

Facility Name: NAMPA FAMILY JUSTICE CENTER

Facility Address:
1305 3RD ST SO
NAMPA, ID
ZIP 83651
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Facility Phone Number: 208 475-5700

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1467658419

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	13D1078169
LAB Type	Other
Facility Name	NAMPA FAMILY JUSTICE CENTER
Street	1305 3RD ST SO
City	NAMPA
State	ID
ZIP	83651
Phone	208 475-5700
CertificateType	4
CertificateEffectiveDate	1/3/2024
CertificateExpirationDate	1/2/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024