13D2282027 CLIA NUMBER - MERIDIAN ADVANCED PSYCHIATRY

Laboratory Demographics

  • CLIA Code: 13D2282027
  • Facility Name: MERIDIAN ADVANCED PSYCHIATRY
  • Facility Address: 4783 N SUMMIT WAY
    MERIDIAN, ID
    ZIP 83646
  • Facility Phone: (208) 515-2273
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: KYLE RONNAU
  • NPI Number: 1609412683
  • Taxonomy: 2084A0401X - Psychiatry & Neurology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 13D2282027
LAB Type Independent
Facility Name MERIDIAN ADVANCED PSYCHIATRY
Street 4783 N SUMMIT WAY
City MERIDIAN
State ID
ZIP 83646
Phone 2085152273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2025
Certificate Expiration Date 5/15/2027
Facility Type Independent
Lab Director KYLE RONNAU

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/29/2026