13D2177130 CLIA NUMBER - AIR IDAHO RESCUE-IDAHO FALLS RW

Laboratory Demographics

  • CLIA Code: 13D2177130
  • Facility Name: AIR IDAHO RESCUE-IDAHO FALLS RW
  • Facility Address: 2860 CHANNING WAY STE #114
    IDAHO FALLS, ID
    ZIP 83404
  • Facility Phone: 402 540-1774
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: TEATHER CAMPBELL
  • NPI Number: 1801288782
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 13D2177130
LAB Type Ambulance
Facility Name AIR IDAHO RESCUE-IDAHO FALLS RW
Street 2860 CHANNING WAY STE #114
City IDAHO FALLS
State ID
ZIP 83404
Phone 402 540-1774
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2024
Certificate Expiration Date 1/5/2026
Facility Type Ambulance
Lab Director TEATHER CAMPBELL

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