13D2091838 CLIA NUMBER - RM LAB DBA EXPRESS LAB

Laboratory Demographics

  • CLIA Code: 13D2091838
  • Facility Name: RM LAB DBA EXPRESS LAB
  • Facility Address: 444 HOSPITAL WAY, BLDG 100 #224
    POCATELLO, ID
    ZIP 83201
  • Facility Phone: 208 529-8330
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: ROSHAN PATEL
  • NPI Number: 1659301349
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 13D2091838
LAB Type Independent
Facility Name RM LAB DBA EXPRESS LAB
Street 444 HOSPITAL WAY, BLDG 100 #224
City POCATELLO
State ID
ZIP 83201
Phone 208 529-8330
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 7/30/2025
Certificate Expiration Date 7/29/2027
Facility Type Independent
Lab Director ROSHAN PATEL

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