13D2211578 CLIA NUMBER - GEM COUNTY FIRE & EMS

Laboratory Demographics

CLIA Number: 13D2211578

Facility Name: GEM COUNTY FIRE & EMS

Facility Address:
330 E MAIN ST
EMMETT, ID
ZIP 83617
Get Directions

Facility Phone Number: 208 365-3684

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1912915448

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	13D2211578
LAB Type	Ambulance
Facility Name	GEM COUNTY FIRE & EMS
Street	330 E MAIN ST
City	EMMETT
State	ID
ZIP	83617
Phone	208 365-3684
CertificateType	4
CertificateEffectiveDate	1/28/2023
CertificateExpirationDate	1/27/2025
FacilityType	Waiver

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