13D2145244 CLIA NUMBER - EMMETT EYE CENTER

Laboratory Demographics

  • CLIA Code: 13D2145244
  • Facility Name: EMMETT EYE CENTER
  • Facility Address: 1108 S WASHINGTON AVE
    EMMETT, ID
    ZIP 83617
  • Facility Phone: 208 365-2020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TRENTON G. WARNER
  • NPI Number: 1811269350
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 13D2145244
LAB Type Physician Office
Facility Name EMMETT EYE CENTER
Street 1108 S WASHINGTON AVE
City EMMETT
State ID
ZIP 83617
Phone 208 365-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2024
Certificate Expiration Date 3/4/2026
Facility Type Physician Office
Lab Director TRENTON G. WARNER

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