13D2261113 CLIA NUMBER - BOISE ENDOSCOPY CENTER DBA CANYON COUNTY ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 13D2261113
  • Facility Name: BOISE ENDOSCOPY CENTER DBA CANYON COUNTY ENDOSCOPY CENTER
  • Facility Address: 1216 GARRITY BLVD
    NAMPA, ID
    ZIP 83687
  • Facility Phone: 208 955-8439
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ERIN MCCOY
  • NPI Number: 1689332959
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 13D2261113
LAB Type Ambulatory Surgery Center
Facility Name BOISE ENDOSCOPY CENTER DBA CANYON COUNTY ENDOSCOPY CENTER
Street 1216 GARRITY BLVD
City NAMPA
State ID
ZIP 83687
Phone 208 955-8439
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2024
Certificate Expiration Date 5/25/2026
Facility Type Ambulatory Surgery Center
Lab Director ERIN MCCOY

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