13D2274365 CLIA NUMBER - AFFECT THERAPEUTICS INC

Laboratory Demographics

  • CLIA Code: 13D2274365
  • Facility Name: AFFECT THERAPEUTICS INC
  • Facility Address: 1217 E 3RD ST STE 109
    NAMPA, ID
    ZIP 83651
  • Facility Phone: 845 769-8758
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: TAMARA K. GERYK
  • NPI Number: 1942948351
  • Taxonomy: 261QM0850X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 13D2274365
LAB Type Comp. Outpatient Rehab Facility
Facility Name AFFECT THERAPEUTICS INC
Street 1217 E 3RD ST STE 109
City NAMPA
State ID
ZIP 83651
Phone 845 769-8758
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director TAMARA K. GERYK

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