13D2140243 CLIA NUMBER - WEST VALLEY MEDICAL COMPLEX

Laboratory Demographics

CLIA Number: 13D2140243

Facility Name: WEST VALLEY MEDICAL COMPLEX

Facility Address:
1906 FAIRVIEW AVE STE 140
CALDWELL, ID
ZIP 83605
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Facility Phone Number: (208) 455-3864

Facility Type: ANCILLARY TEST SITE

Certificate Type: Certificate of Compliance

NPI Number: 1578720033

Taxonomy: 282N00000X - General Acute Care Hospital
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

CLIA Record

Field Name	Field Value
CLIA Number	13D2140243
LAB Type	ANCILLARY TEST SITE
Facility Name	WEST VALLEY MEDICAL COMPLEX
Street	1906 FAIRVIEW AVE STE 140
City	CALDWELL
State	ID
ZIP	83605
Phone	(208) 455-3864

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