13D2180035 CLIA NUMBER - POCATELLO FREE CLINIC

Laboratory Demographics

  • CLIA Code: 13D2180035
  • Facility Name: POCATELLO FREE CLINIC
  • Facility Address: 1001 N 7TH AVE STE 155
    POCATELLO, ID
    ZIP 83201
  • Facility Phone: 208 233-6245
  • Facility Type: Other - FREE CLINIC
  • Facility Type: Waiver
  • Lab Director: GEORGIA MILAN
  • NPI Number: 1972833481
  • Taxonomy: 237600000X - Audiologist-Hearing Aid Fitter

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CLIA Record

Field Name Field Value
CLIA Number 13D2180035
LAB Type Other - FREE CLINIC
Facility Name POCATELLO FREE CLINIC
Street 1001 N 7TH AVE STE 155
City POCATELLO
State ID
ZIP 83201
Phone 208 233-6245
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2024
Certificate Expiration Date 3/4/2026
Facility Type Other - FREE CLINIC
Lab Director GEORGIA MILAN

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