13D2278207 CLIA NUMBER - FAMILY HEALTH SERVICES

Laboratory Demographics

CLIA Number: 13D2278207

Facility Name: FAMILY HEALTH SERVICES

Facility Address:
114 PIONEER CT
JEROME, ID
ZIP 83338
Get Directions

Facility Phone Number: 208 732-7125

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1295336709

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	13D2278207
LAB Type	Federally Qualified Health Center
Facility Name	FAMILY HEALTH SERVICES
Street	114 PIONEER CT
City	JEROME
State	ID
ZIP	83338
Phone	208 732-7125
CertificateType	4
CertificateEffectiveDate	3/14/2023
CertificateExpirationDate	3/13/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024