13D2189583 CLIA NUMBER - HEALTH WEST AMERICAN FALLS COMMUNITY HEALTH CENTER

Laboratory Demographics

CLIA Code: 13D2189583
Facility Name: HEALTH WEST AMERICAN FALLS COMMUNITY HEALTH CENTER
Facility Address: 823 REED STREET
AMERICAN FALLS, ID
ZIP 83211
Facility Phone: 208 232-7862
Facility Type: Federally Qualified Health Center
Facility Type: Microscopy
Lab Director: MARK T. HORROCKS
NPI Number: 1033595541
Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name	Field Value
CLIA Number	13D2189583
LAB Type	Federally Qualified Health Center
Facility Name	HEALTH WEST AMERICAN FALLS COMMUNITY HEALTH CENTER
Street	823 REED STREET
City	AMERICAN FALLS
State	ID
ZIP	83211
Phone	208 232-7862
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: 9/29/2025