13D2171023 CLIA NUMBER - AKOS MED CLINIC

Laboratory Demographics

CLIA Number: 13D2171023

Facility Name: AKOS MED CLINIC

Facility Address:
3499 E FAIRVIEW AVE
MERIDIAN, ID
ZIP 83642
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Facility Phone Number: (602) 796-2320

Facility Type: ANCILLARY TEST SITE

Certificate Type: Waiver

NPI Number: 1760940084

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	13D2171023
LAB Type	ANCILLARY TEST SITE
Facility Name	AKOS MED CLINIC
Street	3499 E FAIRVIEW AVE
City	MERIDIAN
State	ID
ZIP	83642
Phone	(602) 796-2320

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