13D2027091 CLIA NUMBER - ARTHRITIS SPECIALTY CENTER

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Laboratory Demographics

CLIA Number: 13D2027091

Facility Name: ARTHRITIS SPECIALTY CENTER

Facility Address:
1448 E CENTER ST #B
POCATELLO, ID
ZIP 83201
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Facility Phone Number: 208 234-1300

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1801989454

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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
CertificateType	2
CertificateEffectiveDate	7/13/2022
CertificateExpirationDate	7/12/2024
FacilityType	Compliance

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