13D2015997 CLIA NUMBER - BEACON PAIN CLINIC

Laboratory Demographics

  • CLIA Code: 13D2015997
  • Facility Name: BEACON PAIN CLINIC
  • Facility Address: 115 W MAIN ST STE 201
    BOISE, ID
    ZIP 83702
  • Facility Phone: 208 342-2104
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JOHN H. GREER
  • NPI Number: 1477941672
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 13D2015997
LAB Type Physician Office
Facility Name BEACON PAIN CLINIC
Street 115 W MAIN ST STE 201
City BOISE
State ID
ZIP 83702
Phone 208 342-2104
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 3/15/2024
Certificate Expiration Date 3/14/2026
Facility Type Physician Office
Lab Director JOHN H. GREER

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