13D2183200 CLIA NUMBER - MAYO FAMILY HEALTHCARE

Laboratory Demographics

  • CLIA Code: 13D2183200
  • Facility Name: MAYO FAMILY HEALTHCARE
  • Facility Address: 5826 N FRANKLIN RD
    NAMPA, ID
    ZIP 83687
  • Facility Phone: 208 283-7691
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: BILLIESUE MAYO
  • NPI Number: 1770129322
  • Taxonomy: 363LP2300X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 13D2183200
LAB Type Independent
Facility Name MAYO FAMILY HEALTHCARE
Street 5826 N FRANKLIN RD
City NAMPA
State ID
ZIP 83687
Phone 208 283-7691
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2024
Certificate Expiration Date 4/30/2026
Facility Type Independent
Lab Director BILLIESUE MAYO

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This page was last updated on: 6/4/2025