13D2191243 CLIA NUMBER - JEMERICUS

Laboratory Demographics

  • CLIA Code: 13D2191243
  • Facility Name: JEMERICUS
  • Facility Address: 800 WEST MAIN ST STE 1460
    BOISE, ID
    ZIP 83702
  • Facility Phone: 208 297-4091
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEREMY J. SLOYER FNP-BC
  • NPI Number: 1073123220
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 13D2191243
LAB Type Physician Office
Facility Name JEMERICUS
Street 800 WEST MAIN ST STE 1460
City BOISE
State ID
ZIP 83702
Phone 208 297-4091
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2024
Certificate Expiration Date 8/24/2026
Facility Type Physician Office
Lab Director JEREMY J. SLOYER FNP-BC

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