13D2126499 CLIA NUMBER - RIVER VIEW SURGERY CENTER LLC

Laboratory Demographics

CLIA Number: 13D2126499

Facility Name: RIVER VIEW SURGERY CENTER LLC

Facility Address:
1502 LOCUST ST NORTH STE 100
TWIN FALLS, ID
ZIP 83301
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Facility Phone Number: (208) 933-2540

Facility Type: AMBULATORY SURGERY CENTER

Certificate Type: Waiver

NPI Number: 1831636752

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	13D2126499
LAB Type	AMBULATORY SURGERY CENTER
Facility Name	RIVER VIEW SURGERY CENTER LLC
Street	1502 LOCUST ST NORTH STE 100
City	TWIN FALLS
State	ID
ZIP	83301
Phone	(208) 933-2540

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This page was last updated on: 5/11/2023