13D2255631 CLIA NUMBER - PARAGOND LLC

Laboratory Demographics

  • CLIA Code: 13D2255631
  • Facility Name: PARAGOND LLC
  • Facility Address: 2644 S BONITO WAY STE 150
    MERIDIAN, ID
    ZIP 83642
  • Facility Phone: 208 789-0220
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MEGAN M. LANE
  • NPI Number: 1417535329
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 13D2255631
LAB Type Physician Office
Facility Name PARAGOND LLC
Street 2644 S BONITO WAY STE 150
City MERIDIAN
State ID
ZIP 83642
Phone 208 789-0220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2024
Certificate Expiration Date 3/15/2026
Facility Type Physician Office
Lab Director MEGAN M. LANE

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