13D2187674 CLIA NUMBER - IDAHO EYE AND LASER CENTER

Laboratory Demographics

  • CLIA Code: 13D2187674
  • Facility Name: IDAHO EYE AND LASER CENTER
  • Facility Address: 426 PARKVIEW LOOP EAST
    TWIN FALLS, ID
    ZIP 83301
  • Facility Phone: 208 524-2025
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: TAYLOR A. COX
  • NPI Number: 1851624019
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 13D2187674
LAB Type Ambulatory Surgery Center
Facility Name IDAHO EYE AND LASER CENTER
Street 426 PARKVIEW LOOP EAST
City TWIN FALLS
State ID
ZIP 83301
Phone 208 524-2025
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/7/2024
Certificate Expiration Date 7/6/2026
Facility Type Ambulatory Surgery Center
Lab Director TAYLOR A. COX

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