13D2212509 CLIA NUMBER - SHOSHONE COUNTY FIRE PROTECTION DISTRICT #1

Laboratory Demographics

  • CLIA Code: 13D2212509
  • Facility Name: SHOSHONE COUNTY FIRE PROTECTION DISTRICT #1
  • Facility Address: 58738 SILVER VALLEY RD
    OSBURN, ID
    ZIP 83849
  • Facility Phone: 208 752-1101
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: SCOTT A. REED
  • NPI Number: 1174130074
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 13D2212509
LAB Type Ambulance
Facility Name SHOSHONE COUNTY FIRE PROTECTION DISTRICT #1
Street 58738 SILVER VALLEY RD
City OSBURN
State ID
ZIP 83849
Phone 208 752-1101
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2025
Certificate Expiration Date 2/3/2027
Facility Type Ambulance
Lab Director SCOTT A. REED

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