13D2090200 CLIA NUMBER - UNITED DRUG TESTING LAB, LLC

Laboratory Demographics

  • CLIA Code: 13D2090200
  • Facility Name: UNITED DRUG TESTING LAB, LLC
  • Facility Address: 1010 N ORCHARD ST #8
    BOISE, ID
    ZIP 83706
  • Facility Phone: 208 331-4097
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: KEVIN ROSE
  • NPI Number: 1457531592
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 13D2090200
LAB Type Independent
Facility Name UNITED DRUG TESTING LAB, LLC
Street 1010 N ORCHARD ST #8
City BOISE
State ID
ZIP 83706
Phone 208 331-4097
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/16/2025
Certificate Expiration Date 1/15/2027
Facility Type Independent
Lab Director KEVIN ROSE

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