13D1099999 CLIA NUMBER - 1ST CHOICE URGENT CARE

Laboratory Demographics

CLIA Number: 13D1099999

Facility Name: 1ST CHOICE URGENT CARE

Facility Address:
1350 PARKWAY DR
BLACKFOOT, ID
ZIP 83221
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Facility Phone Number: 208 782-2410

Facility Type: Rural Health Clinic

Certificate Type: Waiver

NPI Number: 1548727571

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	13D1099999
LAB Type	Rural Health Clinic
Facility Name	1ST CHOICE URGENT CARE
Street	1350 PARKWAY DR
City	BLACKFOOT
State	ID
ZIP	83221
Phone	208 782-2410
CertificateType	4
CertificateEffectiveDate	5/28/2023
CertificateExpirationDate	5/27/2025
FacilityType	Waiver

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