13D2058331 CLIA NUMBER - MAGIC VALLEY KIDNEY CENTER

Laboratory Demographics

  • CLIA Code: 13D2058331
  • Facility Name: MAGIC VALLEY KIDNEY CENTER
  • Facility Address: 350 N HAVEN DR
    TWIN FALLS, ID
    ZIP 83301
  • Facility Phone: 208 735-3914
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: FAHIM RAHIM
  • NPI Number: 1154669695
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 13D2058331
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MAGIC VALLEY KIDNEY CENTER
Street 350 N HAVEN DR
City TWIN FALLS
State ID
ZIP 83301
Phone 208 735-3914
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/6/2025
Certificate Expiration Date 5/5/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director FAHIM RAHIM

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