13D1099999 CLIA NUMBER - 1ST CHOICE URGENT CARE

Laboratory Demographics

  • CLIA Code: 13D1099999
  • Facility Name: 1ST CHOICE URGENT CARE
  • Facility Address: 1350 PARKWAY DR
    BLACKFOOT, ID
    ZIP 83221
  • Facility Phone: 208 782-2410
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: ROSHAN PATEL
  • NPI Number: 1548727571
  • Taxonomy: 261QM1300X - Clinic/Center

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/2025
Certificate Expiration Date 5/27/2027
Facility Type Rural Health Clinic
Lab Director ROSHAN PATEL

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