13D2109226 CLIA NUMBER - PRIMARY HEALTH MEDICAL GROUP - CHINDEN & LINDER

Laboratory Demographics

  • CLIA Code: 13D2109226
  • Facility Name: PRIMARY HEALTH MEDICAL GROUP - CHINDEN & LINDER
  • Facility Address: 1900 W CHINDEN BLVD
    MERIDIAN, ID
    ZIP 83646
  • Facility Phone: 208 809-2860
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: GEORGE THOMAS
  • NPI Number: 1386003770
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 13D2109226
LAB Type Physician Office
Facility Name PRIMARY HEALTH MEDICAL GROUP - CHINDEN & LINDER
Street 1900 W CHINDEN BLVD
City MERIDIAN
State ID
ZIP 83646
Phone 208 809-2860
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/22/2024
Certificate Expiration Date 2/21/2026
Facility Type Physician Office
Lab Director GEORGE THOMAS

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