13D2008060 CLIA NUMBER - UNITY HEALTH CENTER

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Laboratory Demographics

CLIA Number: 13D2008060

Facility Name: UNITY HEALTH CENTER

Facility Address:
1130 E FAIRVIEW AVE
MERIDIAN, ID
ZIP 83642
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Facility Phone Number: 208 895-6729

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1427302611

Taxonomy: 101YM0800X - Counselor

CLIA Record

Field Name	Field Value
CLIA Number	13D2008060
LAB Type	Community Clinic
Facility Name	UNITY HEALTH CENTER
Street	1130 E FAIRVIEW AVE
City	MERIDIAN
State	ID
ZIP	83642
Phone	208 895-6729
CertificateType	4
CertificateEffectiveDate	6/3/2022
CertificateExpirationDate	6/2/2024
FacilityType	Waiver

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