13D2185937 CLIA NUMBER - NAMPA IDAHO ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 13D2185937
  • Facility Name: NAMPA IDAHO ENDOSCOPY CENTER
  • Facility Address: 5080 E COMMERCE ST
    NAMPA, ID
    ZIP 83687
  • Facility Phone: 986 867-1600
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MARK A. MALLORY
  • NPI Number: 1043835713
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 13D2185937
LAB Type Ambulatory Surgery Center
Facility Name NAMPA IDAHO ENDOSCOPY CENTER
Street 5080 E COMMERCE ST
City NAMPA
State ID
ZIP 83687
Phone 986 867-1600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2024
Certificate Expiration Date 6/10/2026
Facility Type Ambulatory Surgery Center
Lab Director MARK A. MALLORY

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