13D2196453 CLIA NUMBER - UNIVERSITY OF IDAHO ATHLETIC TRAINING ROOM KIBBIE DOME

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Laboratory Demographics

CLIA Number: 13D2196453

Facility Name: UNIVERSITY OF IDAHO ATHLETIC TRAINING ROOM KIBBIE DOME

Facility Address:
1000 STADIUM DR
MOSCOW, ID
ZIP 83844
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Facility Phone Number: 208 885-0256

Facility Type: Other - ATHLETIC TRAINING ROOM

Certificate Type: Waiver

CLIA Record

Field Name	Field Value
CLIA Number	13D2196453
LAB Type	Other - ATHLETIC TRAINING ROOM
Facility Name	UNIVERSITY OF IDAHO ATHLETIC TRAINING ROOM KIBBIE DOME
Street	1000 STADIUM DR
City	MOSCOW
State	ID
ZIP	83844
Phone	208 885-0256
CertificateType	4
CertificateEffectiveDate	10/16/2022
CertificateExpirationDate	10/15/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024