13D2243112 CLIA NUMBER - BALANCE REGENERATIVE MEDICINE

Laboratory Demographics

  • CLIA Code: 13D2243112
  • Facility Name: BALANCE REGENERATIVE MEDICINE
  • Facility Address: 260 FALLS AVE STE B
    TWIN FALLS, ID
    ZIP 83301
  • Facility Phone: 208 539-3155
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ERICA A. CAMERON
  • NPI Number: 1568136299
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 13D2243112
LAB Type Practitioner Other
Facility Name BALANCE REGENERATIVE MEDICINE
Street 260 FALLS AVE STE B
City TWIN FALLS
State ID
ZIP 83301
Phone 208 539-3155
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2023
Certificate Expiration Date 11/15/2025
Facility Type Practitioner Other
Lab Director ERICA A. CAMERON

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