13D2030574 CLIA NUMBER - MOUNTAIN VIEW FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 13D2030574
  • Facility Name: MOUNTAIN VIEW FAMILY PRACTICE
  • Facility Address: 301 S DIVISION ST
    PINEHURST, ID
    ZIP 83850
  • Facility Phone: 208 682-9200
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SCOTT A. REED
  • NPI Number: 1922383074
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 13D2030574
LAB Type Physician Office
Facility Name MOUNTAIN VIEW FAMILY PRACTICE
Street 301 S DIVISION ST
City PINEHURST
State ID
ZIP 83850
Phone 208 682-9200
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 9/30/2025
Certificate Expiration Date 9/29/2027
Facility Type Physician Office
Lab Director SCOTT A. REED

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