13D2094887 CLIA NUMBER - IMAGINE BY NORTHPOINT EMERALD

Laboratory Demographics

  • CLIA Code: 13D2094887
  • Facility Name: IMAGINE BY NORTHPOINT EMERALD
  • Facility Address: 2335 E STATE AVE
    MERIDIAN, ID
    ZIP 83642
  • Facility Phone: 208 867-1454
  • Facility Type: Other - ADOLESCENT COMMUNITY MENT
  • Facility Type: Waiver
  • Lab Director: KELLY A. GROUX
  • NPI Number: 1154709087
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 13D2094887
LAB Type Other - ADOLESCENT COMMUNITY MENT
Facility Name IMAGINE BY NORTHPOINT EMERALD
Street 2335 E STATE AVE
City MERIDIAN
State ID
ZIP 83642
Phone 208 867-1454
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2025
Certificate Expiration Date 4/26/2027
Facility Type Other - ADOLESCENT COMMUNITY MENT
Lab Director KELLY A. GROUX

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