13D2027091 CLIA NUMBER - ARTHRITIS SPECIALTY CENTER

Laboratory Demographics

  • CLIA Code: 13D2027091
  • Facility Name: ARTHRITIS SPECIALTY CENTER
  • Facility Address: 1448 E CENTER ST #B
    POCATELLO, ID
    ZIP 83201
  • Facility Phone: 208 234-1300
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ANANDA WALALIYADDA
  • NPI Number: 1801989454
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 13D2027091
LAB Type Physician Office
Facility Name ARTHRITIS SPECIALTY CENTER
Street 1448 E CENTER ST #B
City POCATELLO
State ID
ZIP 83201
Phone 208 234-1300
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 7/13/2024
Certificate Expiration Date 7/12/2026
Facility Type Physician Office
Lab Director ANANDA WALALIYADDA

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