13D2193467 CLIA NUMBER - EAST WEST DPC

Laboratory Demographics

  • CLIA Code: 13D2193467
  • Facility Name: EAST WEST DPC
  • Facility Address: 1524 W CAYUSE CREEK DR
    MERIDIAN, ID
    ZIP 83646
  • Facility Phone: 208 509-8987
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LOUISE YE-LIEW
  • NPI Number: 1336797042
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 13D2193467
LAB Type Physician Office
Facility Name EAST WEST DPC
Street 1524 W CAYUSE CREEK DR
City MERIDIAN
State ID
ZIP 83646
Phone 208 509-8987
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2024
Certificate Expiration Date 9/21/2026
Facility Type Physician Office
Lab Director LOUISE YE-LIEW

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