13D1102325 CLIA NUMBER - THOMAS HAMMER PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 13D1102325
  • Facility Name: THOMAS HAMMER PEDIATRICS LLC
  • Facility Address: 1209 N JACOB ALLCOTT WAY
    NAMPA, ID
    ZIP 83687
  • Facility Phone: 208 461-8700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THOMAS J. HAMMER
  • NPI Number: 1053301911
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 13D1102325
LAB Type Physician Office
Facility Name THOMAS HAMMER PEDIATRICS LLC
Street 1209 N JACOB ALLCOTT WAY
City NAMPA
State ID
ZIP 83687
Phone 208 461-8700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2025
Certificate Expiration Date 7/15/2027
Facility Type Physician Office
Lab Director THOMAS J. HAMMER

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