13D2004871 CLIA NUMBER - TREASURE VALLEY MIDWIVES

Laboratory Demographics

  • CLIA Code: 13D2004871
  • Facility Name: TREASURE VALLEY MIDWIVES
  • Facility Address: 207 W WASHINGTON ST
    BOISE, ID
    ZIP 83702
  • Facility Phone: 208 343-2079
  • Facility Type: Practitioner Other
  • Facility Type: Microscopy
  • Lab Director: PAULA L. WIENS
  • NPI Number: 1790823375
  • Taxonomy: 261QB0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 13D2004871
LAB Type Practitioner Other
Facility Name TREASURE VALLEY MIDWIVES
Street 207 W WASHINGTON ST
City BOISE
State ID
ZIP 83702
Phone 208 343-2079
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/15/2024
Certificate Expiration Date 3/14/2026
Facility Type Practitioner Other
Lab Director PAULA L. WIENS

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