13D2044290 CLIA NUMBER - FAMILY AND ADOLESCENT CARE OF TWIN FALLS

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Laboratory Demographics

CLIA Number: 13D2044290

Facility Name: FAMILY AND ADOLESCENT CARE OF TWIN FALLS

Facility Address:
1385 PARKVIEW DR
TWIN FALLS, ID
ZIP 83301
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Facility Phone Number: (208) 944-5343

Facility Type: COMMUNITY CLINIC

Certificate Type: Waiver

NPI Number: 1477816809

Taxonomy: 363LF0000X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	13D2044290
LAB Type	COMMUNITY CLINIC
Facility Name	FAMILY AND ADOLESCENT CARE OF TWIN FALLS
Street	1385 PARKVIEW DR
City	TWIN FALLS
State	ID
ZIP	83301
Phone	(208) 944-5343

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This page was last updated on: 5/11/2023