13D2155004 CLIA NUMBER - VISION QUEST MEDICAL CENTER PA

Laboratory Demographics

CLIA Number: 13D2155004

Facility Name: VISION QUEST MEDICAL CENTER PA

Facility Address:
1906 FAIRVIEW AVE
CALDWELL, ID
ZIP 83605
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Facility Phone Number: 208 377-3937

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1497234306

Taxonomy: 207W00000X - Ophthalmology
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

CLIA Record

Field Name Field Value
CLIA Number 13D2155004
LAB Type Physician Office
Facility Name VISION QUEST MEDICAL CENTER PA
Street 1906 FAIRVIEW AVE
City CALDWELL
State ID
ZIP 83605
Phone 208 377-3937
CertificateType 4
CertificateEffectiveDate 9/21/2022
CertificateExpirationDate 9/20/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024