13D2227796 CLIA NUMBER - GEM FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 13D2227796
  • Facility Name: GEM FAMILY MEDICINE
  • Facility Address: 2020 S JOHNS AVE STE B
    EMMETT, ID
    ZIP 83617
  • Facility Phone: (208) 860-7833
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JONATHAN B. BARRUS
  • NPI Number: 1699375659
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 13D2227796
LAB Type Physician Office
Facility Name GEM FAMILY MEDICINE
Street 2020 S JOHNS AVE STE B
City EMMETT
State ID
ZIP 83617
Phone 2088607833
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/17/2025
Certificate Expiration Date 6/16/2027
Facility Type Physician Office
Lab Director JONATHAN B. BARRUS

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This page was last updated on: 5/18/2026