13D1090978 CLIA NUMBER - NAMPA DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 13D1090978
  • Facility Name: NAMPA DIALYSIS CENTER
  • Facility Address: 846 PARKCENTRE WAY
    NAMPA, ID
    ZIP 83651
  • Facility Phone: 208 467-5180
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JAMES CROUCH
  • NPI Number: 1225089915
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 13D1090978
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name NAMPA DIALYSIS CENTER
Street 846 PARKCENTRE WAY
City NAMPA
State ID
ZIP 83651
Phone 208 467-5180
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2024
Certificate Expiration Date 10/21/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JAMES CROUCH

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