13D2059932 CLIA NUMBER - HOLLINGSHEAD EYE CENTER PC

Laboratory Demographics

  • CLIA Code: 13D2059932
  • Facility Name: HOLLINGSHEAD EYE CENTER PC
  • Facility Address: 360 E MALLARD DR #110
    BOISE, ID
    ZIP 83706
  • Facility Phone: 208 336-8700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK E. HOLLINGSHEAD
  • NPI Number: 1871643585
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 13D2059932
LAB Type Physician Office
Facility Name HOLLINGSHEAD EYE CENTER PC
Street 360 E MALLARD DR #110
City BOISE
State ID
ZIP 83706
Phone 208 336-8700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2025
Certificate Expiration Date 6/3/2027
Facility Type Physician Office
Lab Director MARK E. HOLLINGSHEAD

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