13D2084783 CLIA NUMBER - INDEPENDENT FAMILY DOCTORS

Laboratory Demographics

  • CLIA Code: 13D2084783
  • Facility Name: INDEPENDENT FAMILY DOCTORS
  • Facility Address: 2402 W JEFFERSON ST
    BOISE, ID
    ZIP 83702
  • Facility Phone: 208 252-9404
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: JOSH LEAVITT
  • NPI Number: 1942343553
  • Taxonomy: 367500000X - Nurse Anesthetist, Certified Registered

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CLIA Record

Field Name Field Value
CLIA Number 13D2084783
LAB Type Independent
Facility Name INDEPENDENT FAMILY DOCTORS
Street 2402 W JEFFERSON ST
City BOISE
State ID
ZIP 83702
Phone 208 252-9404
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2025
Certificate Expiration Date 7/7/2027
Facility Type Independent
Lab Director JOSH LEAVITT

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