13D2069636 CLIA NUMBER - ADVANTAGE EYE CENTERS

Laboratory Demographics

  • CLIA Code: 13D2069636
  • Facility Name: ADVANTAGE EYE CENTERS
  • Facility Address: 2550 S 25TH E
    IDAHO FALLS, ID
    ZIP 83404
  • Facility Phone: 208 552-7323
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JERRY NAVE
  • NPI Number: 1568654861
  • Taxonomy: 261QS0132X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 13D2069636
LAB Type Physician Office
Facility Name ADVANTAGE EYE CENTERS
Street 2550 S 25TH E
City IDAHO FALLS
State ID
ZIP 83404
Phone 208 552-7323
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2023
Certificate Expiration Date 11/28/2025
Facility Type Physician Office
Lab Director JERRY NAVE

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