13D2168509 CLIA NUMBER - SILVER VALLEY FAMILY PRACTICE PC

Laboratory Demographics

  • CLIA Code: 13D2168509
  • Facility Name: SILVER VALLEY FAMILY PRACTICE PC
  • Facility Address: 107 MCKINLEY AVENUE
    KELLOGG, ID
    ZIP 83837
  • Facility Phone: 208 783-0300
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: LINDA J. YAWN FNP-C
  • NPI Number: 1235797838
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 13D2168509
LAB Type Practitioner Other
Facility Name SILVER VALLEY FAMILY PRACTICE PC
Street 107 MCKINLEY AVENUE
City KELLOGG
State ID
ZIP 83837
Phone 208 783-0300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/2/2025
Certificate Expiration Date 7/1/2027
Facility Type Practitioner Other
Lab Director LINDA J. YAWN FNP-C

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