13D2189574 CLIA NUMBER - HEALTH WEST DOWNEY COMMUNITY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 13D2189574
  • Facility Name: HEALTH WEST DOWNEY COMMUNITY HEALTH CENTER
  • Facility Address: 79 NORTH MAIN ST
    DOWNEY, ID
    ZIP 83234
  • Facility Phone: (208) 897-5600
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: MARK T. HORROCKS
  • NPI Number: 1588666945
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 13D2189574
LAB Type Federally Qualified Health Center
Facility Name HEALTH WEST DOWNEY COMMUNITY HEALTH CENTER
Street 79 NORTH MAIN ST
City DOWNEY
State ID
ZIP 83234
Phone 2088975600
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/3/2024
Certificate Expiration Date 8/2/2026
Facility Type Federally Qualified Health Center
Lab Director MARK T. HORROCKS

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This page was last updated on: 5/18/2026