13D1092732 CLIA NUMBER - MARIMN HEALTH

Laboratory Demographics

  • CLIA Code: 13D1092732
  • Facility Name: MARIMN HEALTH
  • Facility Address: 427 N 12TH ST
    PLUMMER, ID
    ZIP 83851
  • Facility Phone: 208 686-1931
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: MARILOU GONZALEZ
  • NPI Number: 1336135136
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 13D1092732
LAB Type Rural Health Clinic
Facility Name MARIMN HEALTH
Street 427 N 12TH ST
City PLUMMER
State ID
ZIP 83851
Phone 208 686-1931
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2024
Certificate Expiration Date 12/2/2026
Facility Type Rural Health Clinic
Lab Director MARILOU GONZALEZ

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