13D2241674 CLIA NUMBER - D&G MEDICAL ASSOCIATES PLLC

Laboratory Demographics

  • CLIA Code: 13D2241674
  • Facility Name: D&G MEDICAL ASSOCIATES PLLC
  • Facility Address: 1430 W USTICK RD STE 100
    MERIDIAN, ID
    ZIP 83646
  • Facility Phone: 208 286-8670
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: THADEUS B. KOONTZ
  • NPI Number: 1083343388
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 13D2241674
LAB Type Physician Office
Facility Name D&G MEDICAL ASSOCIATES PLLC
Street 1430 W USTICK RD STE 100
City MERIDIAN
State ID
ZIP 83646
Phone 208 286-8670
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 12/27/2024
Certificate Expiration Date 12/26/2026
Facility Type Physician Office
Lab Director THADEUS B. KOONTZ

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