13D2162949 CLIA NUMBER - HURST MEDICAL

Laboratory Demographics

  • CLIA Code: 13D2162949
  • Facility Name: HURST MEDICAL
  • Facility Address: 1700 OVERLAND AVE
    BURLEY, ID
    ZIP 83318
  • Facility Phone: 208 825-6193
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: CINDY R. HURST AGACNP
  • NPI Number: 1609335090
  • Taxonomy: 261Q00000X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 13D2162949
LAB Type Practitioner Other
Facility Name HURST MEDICAL
Street 1700 OVERLAND AVE
City BURLEY
State ID
ZIP 83318
Phone 208 825-6193
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2025
Certificate Expiration Date 3/4/2027
Facility Type Practitioner Other
Lab Director CINDY R. HURST AGACNP

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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