13D1079930 CLIA NUMBER - FIRSTLINE MEDICAL

Laboratory Demographics

  • CLIA Code: 13D1079930
  • Facility Name: FIRSTLINE MEDICAL
  • Facility Address: 9161 W BLACK EAGLE
    BOISE, ID
    ZIP 83709
  • Facility Phone: 208 323-7588
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HUGH G. STERLING
  • NPI Number: 1578741393
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 13D1079930
LAB Type Physician Office
Facility Name FIRSTLINE MEDICAL
Street 9161 W BLACK EAGLE
City BOISE
State ID
ZIP 83709
Phone 208 323-7588
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2024
Certificate Expiration Date 1/5/2026
Facility Type Physician Office
Lab Director HUGH G. STERLING

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