13D1107533 CLIA NUMBER - EMBRACE WELLNESS PLLC

Laboratory Demographics

  • CLIA Code: 13D1107533
  • Facility Name: EMBRACE WELLNESS PLLC
  • Facility Address: 1943 N LOCUST GROVE RD
    MERIDIAN, ID
    ZIP 83642
  • Facility Phone: 208 287-8400
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: TAMMY L. HADFIELD
  • NPI Number: 1083852982
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 13D1107533
LAB Type Practitioner Other
Facility Name EMBRACE WELLNESS PLLC
Street 1943 N LOCUST GROVE RD
City MERIDIAN
State ID
ZIP 83642
Phone 208 287-8400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2023
Certificate Expiration Date 11/8/2025
Facility Type Practitioner Other
Lab Director TAMMY L. HADFIELD

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